Lan M Y, Park J P, Jang Y J
Department of Otolaryngology,Taipei Veterans General Hospital,Taipei,Taiwan.
Department of Otorhinolaryngology,Asan Medical Centre,Seoul,South Korea.
J Laryngol Otol. 2017 Jun;131(6):529-533. doi: 10.1017/S0022215117000639. Epub 2017 Mar 20.
Conchal cartilage is frequently used in rhinoplasty, but donor site morbidity data are seldom reported. This study aimed to investigate the complications of conchal cartilage harvesting in rhinoplasty.
A retrospective chart review of 372 patients who underwent conchal cartilage harvesting for rhinoplasty was conducted. Data regarding patient demographics, types of nasal deformities, graft usage and complications were analysed.
A total of 372 patients who underwent conchal cartilage harvesting for rhinoplasty were enrolled. The harvested conchal cartilage tissues were used in a variety of applications: tip graft, dorsal graft, septal reinforcement and correction of nostril asymmetry. Nine cases (2.4 per cent) with donor site morbidities were identified, including four cases (1.1 per cent) with keloids and five cases (1.3 per cent) with haematomas.
Conchal cartilage harvesting is a safe and useful technique for rhinoplasty, with a low complication rate. However, patients should be informed about the possibility of donor site morbidities such as keloids and haematomas.
耳甲软骨常用于鼻整形术，但供区并发症的数据鲜有报道。本研究旨在调查鼻整形术中采集耳甲软骨的并发症。
对372例行鼻整形术并采集耳甲软骨的患者进行回顾性病历审查。分析患者人口统计学数据、鼻畸形类型、移植物使用情况及并发症。
共纳入372例行鼻整形术并采集耳甲软骨的患者。采集的耳甲软骨组织用于多种用途：鼻尖移植、鼻背移植、鼻中隔加固及鼻孔不对称矫正。发现9例（2.4%）供区出现并发症，包括4例（1.1%）瘢痕疙瘩和5例（1.3%）血肿。
耳甲软骨采集是一种安全有效的鼻整形术技术，并发症发生率低。然而，应告知患者供区出现瘢痕疙瘩和血肿等并发症的可能性。
