介绍“纸莎草移植术”：在复杂鼻整形术中一种多功能且可靠的备用方法。

Introducing "Papyrus Graft": A Versatile and Reliable Backup in Challenging Structural Rhinoplasty.

作者信息

Agrawal Kapil Shriniwas, Mathur Prakhar, Kathare Pooja, Mehta Vidhi, Gaurav Shubhanshu, Francis Joseph, Krishna Vamsi, Gauri S, Mewada Sohank, Acharya Moumita, Patel Smit, Swami Preeti, Girija H R, Chaturvedi Shruti, Deshmukh Parth, Rishikesh V, Sam Sohan, Mago Raghav, Shende Nilesh, Chalwade Chandrashekhar, Puri Vinita

机构信息

Department of Plastic Surgery, Seth GS Medical College and KEM Hospital, Old building, 2nd floor, Gynec. wing, Mumbai, India.

出版信息

Aesthetic Plast Surg. 2025 Aug 28. doi: 10.1007/s00266-025-05095-1.

DOI:10.1007/s00266-025-05095-1

PMID:40877600

Abstract

BACKGROUND

Structural rhinoplasty is a complex surgical procedure that aims to restore and enhance nasal structure and function by reconstructing the underlying framework. Robust grafting material is required for durable results. For revision or secondary rhinoplasty cases where septal and conchal cartilage reserves are exhausted, autologous rib cartilage grafting remains the cornerstone of structural reconstruction, providing comprehensive solutions. The problem arises when the harvested costal cartilage is of little use due to widespread ossification, brittleness, and insufficient size. The "Papyrus graft" presents a novel approach and emerges as a promising solution to address these limitations and achieve effective and sustainable results when other grafts are either in short supply or found to be useless.

MATERIALS AND METHODS

A retrospective study was conducted on patients who underwent structural rhinoplasty using the "Papyrus graft" between 2018 and 2024. Data collected included patient demographics, graft survival, surgical outcomes, and complications.

RESULTS

Papyrus grafts showed a high success rate in achieving desired nasal shape and structural integrity with significant improvement in nasal shape and patient satisfaction. A total of 18 patients (13 females and 5 males) with a mean age of 29.8 years were included in the study. No major complications noted.

CONCLUSION

The "Papyrus graft" offers a breakthrough in structural rhinoplasty, providing a robust, reliable, and versatile grafting solution. Its use can enhance outcomes and expand possibilities in nasal reconstruction, especially in hopeless situations when surgeon falls short of usable cartilage grafts.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

鼻整形术是一种复杂的外科手术，旨在通过重建鼻下框架来恢复和改善鼻的结构与功能。为获得持久效果，需要坚固的移植材料。对于鼻中隔和耳甲软骨储备已耗尽的修复性或二次鼻整形病例，自体肋软骨移植仍是结构重建的基石，能提供全面的解决方案。然而，当获取的肋软骨因广泛骨化、脆性和尺寸不足而几乎无法使用时，问题就出现了。“纸莎草移植术”提出了一种新方法，成为解决这些局限性的有前景的方案，当其他移植材料短缺或无用时，能实现有效且可持续的效果。