Kim Myung-Hoon, Choi Jeong-Hwan, Kim Min-Su, Kim Seok-Kwun, Lee Keun-Cheol
Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine, Busan, Korea.
Arch Plast Surg. 2014 Jan;41(1):29-34. doi: 10.5999/aps.2014.41.1.29. Epub 2014 Jan 13.
The septal extension graft is a very useful method of controlling nasal lengthening and tip projection, rotation, and shape by fixing a graft to the septum, which leads to a strong supporting structure. Enhancing graft stability is important for better long-term outcomes and minimizing complications or relapse, and even more efficient application of these methods is needed for East Asians who lack enough cartilage to be harvested in addition to possessing a weak cartilage framework. In this paper, the methods for overcoming the drawbacks of the septal extension graft, such as instability, a fixed tip, and insufficiency of cartilage, are presented, and the applications of each method for greater satisfaction with surgical outcomes are also discussed.
鼻中隔延伸移植是一种非常有用的方法,通过将移植物固定在鼻中隔上来控制鼻长度、鼻尖突出度、旋转度和形状,从而形成一个强大的支撑结构。增强移植物稳定性对于获得更好的长期效果以及将并发症或复发降至最低很重要,对于除软骨框架薄弱外还缺乏足够可采集软骨的东亚人来说,甚至需要更有效地应用这些方法。本文介绍了克服鼻中隔延伸移植缺点的方法,如不稳定性、鼻尖固定和软骨不足,并讨论了每种方法为提高手术效果满意度的应用。