Singh S K, Sood Tarun, Sabarigirish K, Ramakrishnan N, Rajguru Renu, Manoj Kumar K
Department of ENT & HNS, AFMC, Pune, 411040 Maharashtra India.
Department of ENT, CH(AF), Bengaluru, India.
Indian J Otolaryngol Head Neck Surg. 2015 Dec;67(4):338-40. doi: 10.1007/s12070-014-0816-1. Epub 2014 Dec 14.
The use of diced cartilage grafts in reconstructive surgery was first described by Peer in 1943 though it was not for rhinoplasty. A number of studies describing diced cartilage have followed since then, but the technique has never achieved widespread use. In recent years, however, an interest in using diced cartilage for augmentation rhinoplasty has resurfaced. As surgeons revisit this technique, it is important that this technique is subjected to critical evaluation in terms of materials, approaches, and indications of using using diced-cartilage augmentation. External rhinoplasty approach with diced cartilage as a graft was used to for augmenting the nasal dorsum in 32 patients. Cosmetic appearance improved in all cases both subjectively and objectively. Only one patient showed constriction of dorsum 09 months after surgery. None of the patient had any intra-operative complication, 02 had donor site complication in the form of aural haematoma in 01 patient and wound infection in 01 patient. Diced cartilage technique is an attractive option for use in rhinoplasties especially those requiring augmentation procedures.
1943年,皮尔首次描述了在重建手术中使用切碎软骨移植的情况,但并非用于隆鼻手术。从那时起,有许多关于切碎软骨的研究,但该技术从未得到广泛应用。然而,近年来,使用切碎软骨进行隆鼻术的兴趣再度兴起。随着外科医生重新审视这项技术,对其在材料、方法和使用切碎软骨隆鼻术的适应症方面进行批判性评估非常重要。采用外部隆鼻术方法,使用切碎软骨作为移植材料,对32例患者的鼻背进行了垫高。所有病例的外观在主观和客观上均有改善。仅1例患者在术后9个月出现鼻背狭窄。所有患者术中均无并发症,2例患者出现供区并发症,1例为耳廓血肿,1例为伤口感染。切碎软骨技术是隆鼻术中一种有吸引力的选择,特别是对于那些需要垫高手术的患者。