Themkumkwun Sukkarn, Vorakulpipat Chakorn, Boonsiriseth Kiatanant
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
J Korean Assoc Oral Maxillofac Surg. 2023 Oct 31;49(5):270-277. doi: 10.5125/jkaoms.2023.49.5.270.
Concha cartilage is recommended for correction of cleft nasal deformities. Morbidities at the donor site have been reported in esthetic rhinoplasty cases. Reports on cleft patients are limited, so we investigated the complications of concha cartilage harvesting using the retroauricular approach in cleft rhinoplasty and their management.
This was a retrospective review of the charts of 63 patients with cleft deformities who underwent septorhinoplasty with concha cartilage. All cases were harvested using a retroauricular approach. Data on patient demographics, surgery type, amount of cartilage harvested, and complications were gathered.
Sixty-three patients were enrolled (21 males and 42 females). The mean age of patients was 20.2±5.9 years. Complications were observed in 6 cases (9.5%) and included delayed wound healing (4.8%), prolonged postoperative pain (1.6%), postoperative paresthesia (1.6%), and prominauris (1.6%).
The rate of complications associated with concha cartilage harvesting using a retroauricular approach is low. The use of meticulous surgical techniques, especially hemostasis control and adequate wound dressing, is key to minimizing postoperative complications.
推荐使用耳甲软骨矫正腭裂鼻畸形。在美容鼻整形病例中已有供区并发症的报道。关于腭裂患者的报道有限，因此我们研究了在腭裂鼻整形术中采用耳后入路采集耳甲软骨的并发症及其处理方法。
这是一项对63例腭裂畸形患者行鼻中隔鼻整形术并采用耳甲软骨的病例回顾性研究。所有病例均采用耳后入路采集软骨。收集了患者人口统计学资料、手术类型、采集软骨量及并发症等数据。
纳入63例患者（男21例，女42例）。患者平均年龄为20.2±5.9岁。6例（9.5%）出现并发症，包括伤口愈合延迟（4.8%）、术后疼痛延长（1.6%）、术后感觉异常（1.6%）和耳廓突出（1.6%）。
采用耳后入路采集耳甲软骨的并发症发生率较低。采用精细的手术技术，尤其是止血控制和充分的伤口包扎，是将术后并发症降至最低的关键。
