Khan Galina, Choi Yean Su, Park Eun Soo, Choi Yim Don
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Bucheon.
Kies-U Plastic Surgery Clinic, Seoul, Republic of Korea.
J Craniofac Surg. 2018 Nov;29(8):e774-e777. doi: 10.1097/SCS.0000000000004737.
In recent years, efficacy of 3-dimensional (3D) simulation, in preoperative planning of aesthetic and reconstructive surgeries and prediction of the postoperative result, has been reported in many clinical studies. Especially in rhinoplasty, it can be used not only for prediction the outcome but also for fabricating implants that will strictly match with the anatomical needs of patient.
A 30-year-old male after traffic accident visited emergency room complaining on painful swelling and contour deformity of nose. Under the diagnosis of nasal bone fracture and deviated nose, he had been admitted to our hospital. Considering his medical history of rhinoplasty, which was performed in the local aesthetic clinic 6 years ago, the authors decided to perform the operation with 3D simulation program and 3D printed implant. There were no specific complications, such as hematoma, infection, or necrosis. Patient was discharged on fourth postoperation day.
There is no doubt that creating an ideal dorsal aesthetic line is critically important in rhinoplasty. Therefore creating individual implants for certain patient's anatomical nasal structure is highly significant in the rhinoplasty. Although usefulness of primary rhinoplasty using patient-specific 3D implant is introduced in previous study, the authors successfully applied the patient-specific 3D implant to patient who has fracture of nasal bone and primary rhinoplasty history. It means that the patient-specific implants are stable and can be used not only in primary rhinoplasty patients but also for the patients who had primary rhinoplasty previously.
近年来，许多临床研究报道了三维（3D）模拟在美容和重建手术术前规划以及术后效果预测方面的有效性。特别是在隆鼻手术中，它不仅可用于预测手术结果，还可用于制造与患者解剖需求严格匹配的植入物。
一名30岁男性在交通事故后前往急诊室，主诉鼻部疼痛肿胀和外形畸形。经诊断为鼻骨骨折和鼻中隔偏曲，随后入住我院。考虑到他6年前在当地美容诊所接受过隆鼻手术的病史，作者决定使用3D模拟程序和3D打印植入物进行手术。术后未出现血肿、感染或坏死等特殊并发症。患者于术后第四天出院。
毫无疑问，在隆鼻手术中创建理想的鼻背美学线至关重要。因此，为特定患者的解剖学鼻结构制作个性化植入物在隆鼻手术中具有重要意义。尽管先前的研究介绍了使用患者特异性3D植入物进行初次隆鼻手术的有效性，但作者成功地将患者特异性3D植入物应用于有鼻骨骨折和初次隆鼻手术史的患者。这意味着患者特异性植入物是稳定的，不仅可用于初次隆鼻手术患者，也可用于先前接受过初次隆鼻手术的患者。
