Medipol University, Faculty of Medicine, Department of Otorhinolaryngology, Bagcilar, Istanbul, Turkey.
Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.
Am J Otolaryngol. 2023 Jul-Aug;44(4):103901. doi: 10.1016/j.amjoto.2023.103901. Epub 2023 Apr 21.
There are numerous cartilaginous grafts that can be used in rhinoplasty, depending on the specific needs of the patient. These include spreader grafts, dorsal onlay, tip grafts, septal extension, and columellar struts grafts, among others.
The aim of this study is to demonstrate use of the hammer graft in rhinoplasty; this technique can be used to improve dorsal support, tip projection, and tip rotation using a single cartilage graft.
This novel graft was applied in 18 patients who underwent rhinoplasty. In revision patients, hammer graft was harvested from costal cartilage and in primary cases from septum cartilage. They were followed in average 12 months (between 6 and 18 months).
Three of these patients were revision cases and 15 were primary cases. In revision patients, hammer graft was harvested from costal cartilage and in primary cases from septal cartilage. The targeted results were achieved to a large extent in all patients. All patients had satisfactory esthetic results.
The hammer graft as a single and stable graft useful support for the dorsal part, caudal part and extension part of the septum to be used in primary and revision rhinoplasty.
鼻整形术中可使用多种软骨移植物，具体取决于患者的特定需求。这些移植物包括：鼻中隔扩展移植物、鼻中隔尾侧移植物、鼻尖移植物、鼻中隔延伸移植物和鼻中隔支撑移植物等。
本研究旨在演示在鼻整形术中使用锤状移植物，该技术可使用单个软骨移植物来改善鼻背支撑、鼻尖突出度和鼻尖旋转。
这项新技术在 18 名接受鼻整形术的患者中应用。在修复患者中，锤状移植物取自肋软骨，在原发性病例中取自鼻中隔软骨。平均随访 12 个月（6-18 个月）。
其中 3 例为修复患者，15 例为原发性患者。在修复患者中，锤状移植物取自肋软骨，在原发性病例中取自鼻中隔软骨。所有患者都在很大程度上实现了预期的效果。所有患者均获得满意的美学效果。
锤状移植物作为一种单一且稳定的移植物，可用于原发性和修复性鼻整形术，为鼻中隔的背侧、尾侧和延伸部分提供有用的支撑。
