From the Northwell Health Division of Plastic Surgery, Zucker School of Medicine at Hofstra/Northwell; and the Long Island Plastic Surgical Group.
Plast Reconstr Surg. 2022 Sep 1;150(3):675e-683e. doi: 10.1097/PRS.0000000000009372. Epub 2022 Aug 30.
After studying this article, the participant should be able to: 1. Understand the autologous graft options available to the rhinoplasty surgeon, including septal cartilage, auricular cartilage, costal cartilage, and bone. 2. Understand the autograft and allograft options available to the rhinoplasty surgeon, including cadaveric costal cartilage, silicone, Medpor, and Gore-Tex. 3. Identify the ideal situations to use each of these implant materials. 4. Understand the advantages and disadvantages of the different autografts, allografts, and implants in rhinoplasty.
This review focuses on the graft options available to the modern rhinoplasty surgeon. Autologous options are varied in the quality of cartilage harvested and the morbidity of the donor site. In addition, surgeons should understand the allograft options should autologous grafting be unfeasible or undesirable. New technological advances in processing of allograft cartilage makes this an attractive secondary option.
学习本文后，学员应能够：1. 了解鼻整形术医生可用的自体移植物选择，包括鼻中隔软骨、耳软骨、肋软骨和骨。2. 了解鼻整形术医生可用的自体移植物和同种异体移植物选择，包括尸体肋软骨、硅胶、Medpor 和 Gore-Tex。3. 确定使用这些植入物材料的每种理想情况。4. 了解不同自体移植物、同种异体移植物和植入物在鼻整形术中的优缺点。
本综述重点介绍了现代鼻整形术医生可用的移植物选择。自体移植物的选择因采集的软骨质量和供体部位的发病率而异。此外，如果自体移植物不可行或不理想，外科医生应了解同种异体移植物的选择。同种异体软骨处理的新技术进步使其成为一种有吸引力的次要选择。
