Choi Ji Yun
Department of Otolaryngology - Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Korea.
Facial Plast Surg. 2020 Oct;36(5):517-527. doi: 10.1055/s-0040-1717082. Epub 2020 Dec 24.
In Asian countries, augmentation rhinoplasty is especially common, where alloplastic implants are used much more commonly than autologous tissues. In rhinoplasty, such artificial materials include silicone, expanded polytetrafluoroethylene (ePTFE), porous high-density polyethylene (pHDPE), and acellular human dermis. As the use of implants has become increasingly common in rhinoplasty, more adverse effects such as infection, extrusion, movement, irregularities, absorption, prolonged swelling, seroma, and contracture have been recognized and reported in the literature. Surgeons should be able to recognize these probable complications and manage them successfully. Early detection and prompt management of the complication are essential for minimizing the severity of the deformity. Proper management of complications is key for the success of dorsal augmentation using alloplastic implants.
在亚洲国家，隆鼻手术尤为常见，其中异体植入物的使用比自体组织更为普遍。在隆鼻术中，此类人工材料包括硅胶、膨体聚四氟乙烯（ePTFE）、多孔高密度聚乙烯（pHDPE）和脱细胞人真皮。随着植入物在隆鼻术中的使用越来越普遍，更多的不良反应，如感染、挤出、移位、不规则、吸收、肿胀持续时间延长、血清肿和挛缩等，已在文献中得到认识和报道。外科医生应能够识别这些可能的并发症并成功处理。并发症的早期发现和及时处理对于将畸形的严重程度降至最低至关重要。正确处理并发症是使用异体植入物进行鼻背隆升手术成功的关键。
