Tasman Abel-Jan
ENT, Facial Plastic Surgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Facial Plast Surg. 2019 Feb;35(1):53-57. doi: 10.1055/s-0039-1677802. Epub 2019 Feb 13.
The reconstruction of the nasal dorsum after a hump resection is challenging if narrowing of the nose is to be avoided, the nasal skin is very thin, and the nasal bones are short. This report describes the replacement of the bony and cartilaginous nasal dorsum after resection with an anatomically shaped dorsal replacement graft of diced cartilage in fibrin glue. The technique is illustrated with a clinical case and sonographic morphometry of the nasal dorsum and tip. A modification of the diced cartilage glue graft for thin-skinned patients is presented.
如果要避免鼻背变窄、鼻皮肤非常薄且鼻骨较短，那么在驼峰切除术后重建鼻背具有挑战性。本报告描述了在切除后用解剖形状的切碎软骨背侧替代移植物在纤维蛋白胶中替换鼻骨和软骨性鼻背。该技术通过一个临床病例以及鼻背和鼻尖的超声形态测量进行说明。还介绍了针对薄皮肤患者的切碎软骨胶水移植物的改良方法。
