Kim Chang-Hoon, Park Sang Chul
Department of Otorhinolaryngology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea; The Airway Mucus Institute, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.
Department of Otorhinolaryngology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.
Facial Plast Surg Clin North Am. 2018 Aug;26(3):311-321. doi: 10.1016/j.fsc.2018.03.005. Epub 2018 Jun 7.
Homologous graft materials for dorsal augmentation are safe and biocompatible with a low risk of complications. Acellular dermal matrix (ADM) provides natural appearance of the nose and long-term structural integrity without extrusion, showing favorable augmentation results. Tutoplast-processed fascia lata (TPFL) is soft and easy to manipulate, providing a smooth postoperative contour of the nasal dorsum with low risk of infection or extrusion. ADM and TPFL carry low risk of major complications, such as infection, foreign body reaction, and graft extrusion. ADM and TPFL are suitable graft materials that deliver proper dorsal augmentation and patient satisfaction in primary and revision rhinoplasty.
用于鼻背增高的同种异体移植材料安全且具有生物相容性,并发症风险低。脱细胞真皮基质(ADM)能使鼻子呈现自然外观并保持长期结构完整性,不会发生挤出,隆鼻效果良好。经Tutoplast处理的阔筋膜(TPFL)质地柔软,易于操作,能使鼻背术后轮廓平滑,感染或挤出风险低。ADM和TPFL发生感染、异物反应和移植物挤出等主要并发症的风险较低。ADM和TPFL是合适的移植材料,在初次隆鼻和修复隆鼻中都能实现适当的鼻背增高并让患者满意。