Sherris D A, Kern E B
Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN 55905, USA.
Am J Rhinol. 1998 May-Jun;12(3):221-7. doi: 10.2500/105065898781390136.
In the graft depleted revision rhinoplasty patient and the patient with major tissue needs, alternatives to septal and conchal cartilage grafts are needed. The costal cartilage graft and rib bone/costal cartilage combination graft are excellent alternatives. In this study 14 patients received 40 grafts from 20 autogenous ribs harvested during septorhinoplasty. Materials were harvested for use as septal replacement grafts, cantilevered grafts, dorsal onlay grafts, columellar struts, and tip grafts. Patient followup was 6 to 31 months, and no evidence of graft resorption or warpage was evident during that period. Complications of harvest were minimal, and harvest techniques are detailed.
在移植组织已耗尽的鼻整形修复患者以及有大量组织需求的患者中，需要鼻中隔软骨和耳甲软骨移植的替代物。肋软骨移植和肋骨/肋软骨联合移植是很好的替代物。在本研究中，14例患者在鼻中隔成形术期间从20根自体肋骨获取了40块移植组织。所获取的材料用作鼻中隔替代移植、悬臂移植、鼻背覆盖移植、鼻小柱支撑以及鼻尖移植。患者随访时间为6至31个月，在此期间未发现移植组织吸收或翘曲的迹象。取材的并发症极少，取材技术也有详细介绍。
