Scopelliti Domenico, Amodeo Giulia
*Maxillo-Facial Surgery Department, San Filippo Neri Hospital†Maxillo-Facial Surgery Department, "Sapienza" University of Rome, Rome, Italy.
J Craniofac Surg. 2016 Oct;27(7):e676-e678. doi: 10.1097/SCS.0000000000003052.
The secondary nasal surgery represents a challenging surgical procedure. The difficulties in fact are several: the surgeon must make an effort to achieve the functional and aesthetic consequences of the previous surgical procedure, has to correct the aesthetic and functional imperfections, and has to work on a fibrotic and altered framework.The goal of the secondary nasal surgery is then to restore the normal nasal proportions correcting any functional inability unresolved by the previous surgery or determined by it.The aim of our study is to present our experience in dorsum reconstruction using Medpor. It became necessary as a result of previous surgery procedures responsible for an important sagittal projection deficiency.In the past the autologous grafts were used to restore the correct anatomical relationships.With the improvement in the surgical procedure, the alloplastic implants become of a wider use. Among these, Medpor represents the first choice because of its own intrinsic characteristics.Between 2004 and 2014, 18 patients underwent nasal dorsum reconstruction procedure using Medpor. Medpor was used to reconstruct the nasal dorsum and to augment the columella, supporting the nasal tip.The 18 patients treated by Medpor reported an aesthetic and functional improvement.Medpor represents a safe method in the secondary rhinoplasty to restore the nose anatomy and functionality and to achieve good aesthetic results.
二次鼻整形手术是一项具有挑战性的外科手术。事实上，困难有诸多方面：外科医生必须努力实现先前手术的功能和美学效果，纠正美学和功能上的缺陷，并且要在纤维化且已改变的结构上进行操作。二次鼻整形手术的目标就是恢复正常的鼻部比例，纠正先前手术未解决或由其导致的任何功能障碍。我们研究的目的是展示我们使用Medpor进行鼻背重建的经验。这是由于先前手术导致重要的矢状面突出不足而变得必要。过去使用自体移植物来恢复正确的解剖关系。随着手术技术的改进，异体植入物的使用更为广泛。其中，Medpor因其自身内在特性成为首选。在2004年至2014年期间，18例患者接受了使用Medpor的鼻背重建手术。Medpor用于重建鼻背并抬高鼻小柱，支撑鼻尖。接受Medpor治疗的18例患者的美学和功能均有改善。Medpor是二次鼻整形术中恢复鼻部解剖结构和功能并取得良好美学效果的一种安全方法。
