Arslan Fatih, Yildiz Cemile Açikgoz
Department of Otolaryngology, Head and Neck Surgery, Beytepe Murat Erdi Eker State Hospital, Ankara, Turkey.
J Craniofac Surg. 2018 Jun;29(4):e344-e345. doi: 10.1097/SCS.0000000000004273.
Nowadays, rhinoplasty is one of the most popular surgical procedures. Dorsal contour irregularities caused by various maneuvers, such as hump resection, are a major concern in patients who have undergone rhinoplasty. The most common graft used in this case is dorsal onlay graft which is made from sliced and crushed cartilage. Ear, nose and throat specialists usually use Swester table (mayo desk) for preparing the graft, if there is no other steril metal instrument. Crushed cartilage is done on a sterile gauze or on the tables' cover, as a result cartilage may be contaminated with particules from the tables' cover and sterile gauze.The authors recommend using the steril pack of a new sterilized surgical instrument opened on the table for the slicing or crushing process. In this way, the cartilage can be spared from contamination and the loss of some cartilage to the table during slicing or crushing can be prevented.
如今，隆鼻术是最受欢迎的外科手术之一。各种操作（如驼峰切除）导致的鼻背轮廓不规则是接受过隆鼻术患者的主要担忧。这种情况下最常用的移植材料是取自片状和粉碎软骨的鼻背镶嵌移植片。如果没有其他消毒金属器械，耳鼻喉科专家通常使用斯韦斯特手术台（梅奥手术台）来准备移植片。粉碎软骨是在无菌纱布或手术台覆盖物上进行的，结果软骨可能会被手术台覆盖物和无菌纱布上的颗粒污染。作者建议使用在手术台上打开的新消毒手术器械无菌包装进行切片或粉碎操作。通过这种方式，软骨可以避免污染，并且可以防止在切片或粉碎过程中一些软骨掉落到手术台上造成损失。
