Owsley T G, Taylor C O
Institute of Facial Surgery, Fairfax, Va.
Plast Reconstr Surg. 1994 Aug;94(2):241-8; discussion 249-50.
Numerous implant materials have been used in nasal surgery, including autogenous, homogeneous, and alloplastic grafts. Autogenous cartilage remains the ideal graft material; however, situations exist where an alternative or an additional grafting material is needed. Homogeneous materials have demonstrated significant resorption. Alloplastic grafts have offered varying degrees of success but have resulted in significant complications as well. Gore-Tex has undergone extensive research and clinical application in various surgical fields with reported success. This analysis examines 106 patients over a 5-year time period in which the Gore-Tex soft-tissue patch was used in a wide variety of situations from extensive nasal dorsal reconstruction to small localized nasal defects or irregularities. Postoperative follow-up has revealed a stable implant material with no complications relating to the graft material.
许多植入材料已用于鼻外科手术，包括自体、同种和异体移植材料。自体软骨仍然是理想的移植材料；然而，在某些情况下需要替代或额外的移植材料。同种材料已显示出明显的吸收。异体移植虽取得了不同程度的成功，但也导致了严重的并发症。Gore-Tex在各个外科领域都经过了广泛的研究和临床应用，并有成功的报道。本分析在5年时间内对106例患者进行了研究，这些患者在从广泛的鼻背重建到小范围局部鼻缺损或畸形等各种情况下使用了Gore-Tex软组织补片。术后随访显示植入材料稳定，未出现与移植材料相关的并发症。
