Fanous Nabil, Tournas Athanasios, Côté Valérie, Ali Yaseen, Berbari Patricia, Fanous Amanda, Campagna-Vaillancourt Maude
Division of Facial Plastic, Reconstructive and Esthetic Surgery, Department of Otolaryngology and Head and Neck Surgery, McGill University, 1 Westmount Sq, Suite 1380, Montreal, QC, H3Z 2P9, Canada.
Department of Otolaryngology and Head and Neck Surgery, Université de Sherbrooke, 3001, 12e Avenue Nord, Bureau 8501, Sherbrooke, QC, J1H 5N4, Canada.
Aesthetic Plast Surg. 2017 Apr;41(2):397-412. doi: 10.1007/s00266-017-0785-3. Epub 2017 Jan 27.
Modern rhinoplasty is not just a reduction procedure. An optimal nasal esthetic result occasionally requires augmenting the nasal tip, the dorsum or the lateral wall with autografts or alloplasts. A large number of nasal implant types have been reported in the medical literature.
The goal of this article is to demystify the role and indications of nasal implants in rhinoplasty. As well, it offers both the novice and experienced nasal surgeon a basic, simplified and organized approach to the use of soft and firm nasal implants in rhinoplasty.
This article presents the authors experience with 311 rhinoplasties using both soft and firm alloplastic implants. The indications for both types of alloplasts are discussed, the surgical technique detailed and the outcomes analyzed.
A total of 311 nasal implant cases were reviewed. This series revealed a low incidence of postoperative infection (5.57% for soft implants and 0.1% for the firm ones). The revision rate was 2.7% for the soft implants group and 7.1% for the firm implants group.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
现代鼻整形术并非仅仅是一种缩小手术。理想的鼻美学效果有时需要使用自体移植物或异体植入物来垫高鼻尖、鼻背或鼻侧壁。医学文献中已报道了大量的鼻植入物类型。
本文旨在揭开鼻植入物在鼻整形术中的作用和适应证的神秘面纱。此外，它还为初涉鼻整形领域的医生和经验丰富的鼻外科医生提供了一种在鼻整形术中使用柔软和坚硬鼻植入物的基本、简化且有条理的方法。
本文介绍了作者使用柔软和坚硬异体植入物进行311例鼻整形术的经验。讨论了两种类型异体植入物的适应证，详细阐述了手术技术并分析了结果。
共回顾了311例鼻植入物病例。该系列研究显示术后感染发生率较低（柔软植入物为5.57%，坚硬植入物为0.1%）。柔软植入物组的修复率为2.7%，坚硬植入物组为7.1%。
证据级别IV：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
