Ferrante B, Biessy R, Ducroz V, Gzaiel D, Leyder P
Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique, Hôpital Robert Ballanger, Aulnay-Sous-Bois.
Ann Chir Plast Esthet. 1993 Oct;38(5):555-60.
Deviated noses corrective surgery is not without problems. Authors give the result obtained by the use of processed irradiated bovine cartilage (Chondroplast) as spreader graft in eighteen rhinoplasty, associated with a classical septorhinoplasty technique. The maximum background is five years. The future of the grafts can be appreciated on direct signs obtained by palpation, or indirect ones such as stability of the functional or aesthetic result, radiological visualisation of the bovine cartilage graft. Their volumetric stability is satisfactory and their guide role is excellent. This undisputed aid in the aesthetic and functional correction of deviated noses, associated with availability, easy use and a good tolerance, made the authors use spreader grafts in processed irradiated bovine cartilage as a choice technique in this indication, associated with bone and septal surgery, when local cartilage autografts are not available in sufficient quantities.
鼻中隔偏曲矫正手术并非没有问题。作者给出了在18例鼻整形术中使用经处理的辐照牛软骨(软骨成形术)作为撑开移植物,并结合经典鼻中隔鼻整形术技术所获得的结果。最长随访时间为五年。通过触诊获得的直接体征,或诸如功能或美学效果的稳定性、牛软骨移植物的放射影像学可视化等间接体征,可以评估移植物的未来情况。它们的体积稳定性令人满意,其导向作用极佳。这种在鼻中隔偏曲的美学和功能矫正中无可争议的辅助手段,加上其可得性、易用性和良好的耐受性,使得作者在局部自体软骨数量不足时,将经处理的辐照牛软骨撑开移植物作为该适应症的首选技术,与骨和鼻中隔手术联合使用。