Rimmer Joanne, Saleh Hesham
Department of Otolaryngology and Head & Neck Surgery, Guy's & St. Thomas's Hospitals, London, United Kingdom.
Facial Plast Surg. 2013 Dec;29(6):464-72. doi: 10.1055/s-0033-1360591. Epub 2013 Dec 10.
Septal reconstruction is challenging. Autologous cartilage may be thin or deviated and traditional techniques are often inadequate or technically difficult. The use of an absorbable scaffold material for support during healing can improve results. Polydioxanone (PDS) plate can be used for this purpose. We describe our use of PDS plate in both open and closed septal surgeries, as well as in the repair of septal perforations. Surgical techniques and potential complications are discussed. The current evidence for PDS plate is reviewed. PDS plate is a safe and reliable absorbable implant that has many different applications in septal surgery and reconstruction. It not only acts as a scaffold but also stimulates and guides cartilage regeneration.
鼻中隔重建具有挑战性。自体软骨可能较薄或存在偏斜,传统技术往往不够充分或在技术上存在困难。在愈合过程中使用可吸收支架材料来提供支撑可改善手术效果。聚二氧六环酮(PDS)板可用于此目的。我们描述了PDS板在开放式和闭合式鼻中隔手术以及鼻中隔穿孔修复中的应用。讨论了手术技术和潜在并发症。对PDS板的现有证据进行了综述。PDS板是一种安全可靠的可吸收植入物,在鼻中隔手术和重建中有多种不同应用。它不仅起到支架作用,还能刺激和引导软骨再生。