Beaudoin Pier-Luc, Carles Guillaume
Division of Otolaryngology-Head and Neck Surgery, Hôpital Maisonneuve-Rosemont, Université de Montréal, Quebec, Canada.
Institut de Chirurgie Esthétique de Montpellier, Montpellier, France.
Facial Plast Surg. 2023 Dec;39(6):707-713. doi: 10.1055/a-2019-5433. Epub 2023 Jan 25.
Dorsal irregularities are one of the most common issues in modern rhinoplasty. Rhinoplasty surgeons propose placing interface grafts lining the hole dorsum to ensure a natural unoperated look. Diced cartilage embedded in Choukroun's platelet-rich fibrin (PRF) scaffold being one of the most recent innovations in the field. However, no method has been described to help with the creation of thin, malleable, and reproductive graft with millimetric precision using that technique. The senior author details his protocol and his experience with a newly developed template for the creation of reproductive grafts with standard size and thickness, using diced cartilage, injectable PRF (iPRF), and advanced PRF (aPRF), for full dorsal camouflage and lining in rhinoplasty. This retrospective case series was conducted to evaluate the results looking at the dorsal esthetic unit at a minimum of 6 months for patients who beneficiated from a millimetric dorsal augmentation from 1 to 2mm using diced cartilage with iPRF and aPRF. The author reports his experience with 54 cases operated from April 2018 to May 2022 using his newly developed template.The template is an innovative technique to allow faster and more reliable fabrication of soft grafts using diced cartilage with both iPRF and aPRF. This novel approach allows for millimetric dorsal augmentation from 1 to 2mm with great precision and high reproductivity with good esthetic outcome.
鼻背不规则是现代鼻整形术中最常见的问题之一。鼻整形外科医生建议在鼻背孔处放置界面移植片，以确保呈现自然的未手术外观。将切碎的软骨嵌入Choukroun富血小板纤维蛋白（PRF）支架是该领域最新的创新之一。然而，尚未有方法描述如何使用该技术精确到毫米地制作出薄的、可塑形的和可复制的移植片。资深作者详细介绍了他的方案以及使用一种新开发的模板的经验，该模板用于使用切碎的软骨、可注射PRF（iPRF）和高级PRF（aPRF）制作具有标准尺寸和厚度的可复制移植片，用于鼻整形术中完全鼻背伪装和衬里。本回顾性病例系列旨在评估对受益于使用切碎软骨与iPRF和aPRF进行1至2毫米精确鼻背增高的患者，在至少6个月时观察鼻背美学单元的结果。作者报告了他从2018年4月至2022年5月使用他新开发的模板进行的54例手术的经验。该模板是一种创新技术，可使用切碎软骨与iPRF和aPRF更快、更可靠地制作软移植片。这种新方法能够精确到毫米地进行1至毫米的鼻背增高，具有高再现性和良好的美学效果。
