Qiao Congzhen, Yu Wenxin, Gao Wei, Qiu Yajing, Lin Xiaoxi
Department of Plastic and Reconstructive Surgery.
Department of Laser and Aesthetic Medicine, Shanghai Ninth People's Hospital.
J Craniofac Surg. 2020 Mar/Apr;31(2):340-342. doi: 10.1097/SCS.0000000000006014.
Autologous costal cartilage graft is optimal for augmentation rhinoplasty but with complications including markedly visible graft margins and dorsal contour irregularities. Therefore, the authors introduced the diced costal cartilage graft to smoothen the margins of bilateral spreader graft for nasal dorsum augmentation. A total of 6 patients were recruited for this augmentation rhinoplasty. The pre- and postoperative photographs were taken for improvement evaluation. During a mean follow-up of 15 months, none of the patients developed major complications that may require removal or revision of the costal cartilage grafts. Five patients (80%) were very satisfied with the aesthetic outcome. This simple algorithm facilitates the substantial augmentation and removes the visibility of dorsal graft in the costal cartilage rhinoplasty for the East Asian population.
自体肋软骨移植是隆鼻术的最佳选择，但存在一些并发症，包括移植边缘明显可见和鼻背轮廓不规则。因此，作者引入了切碎的肋软骨移植，以平滑双侧撑开移植的边缘，用于鼻背增高。共有6例患者接受了此次隆鼻术。拍摄术前和术后照片以评估改善情况。在平均15个月的随访期间，没有患者出现可能需要取出或修复肋软骨移植的重大并发症。5例患者（80%）对美学效果非常满意。这种简单的方法有助于显著增高，并消除了东亚人群肋软骨隆鼻术中鼻背移植的可见性。
