Efficacy of autologous costal cartilage combined with silicone prosthesis for repair of injection rhinoplasty
10.3760/cma.j.issn.1671-0290.2023.05.002
- VernacularTitle:自体肋软骨联合硅胶假体修复注射式鼻整形的效果
- Author:
Guanghao LIN
1
;
Linhai CHEN
;
Yan JIANG
;
Changyan WU
Author Information
1. 绍兴市妇幼保健院医疗美容科，绍兴 312000
- Keywords:
Reconstructive surgical procedures;
Costal cartilage;
Autografts;
Silicone prosthesis;
Injection;
Rhinoplasty
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(5):352-355
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the repair effect of autologous costal cartilage combined with silicone prosthesis on injection rhinoplasty.Methods:From July 2016 to July 2019, 28 patients who were dissatisfied with the appearance of injectable rhinoplasty and required surgical repair were treated in our hospital. Among them, 26 patients were injected with hyaluronic acid as filler, and 2 patients were unknown filler. On the basis of thoroughly cleaning the filler and releasing the adhesive tissue, the method of autogenous costal cartilage combined with silicone prosthesis was adopted: the costal cartilage was taken to support the nasal tip, and the silicone prosthesis was used to fill the nasal dorsum. The incidence of complications was observed postoperatively, and the score of each patient before and 6 months after operation was evaluated by ROE questionnaire.Results:No postoperative complications such as skin infection and necrosis, prosthesis deformation and displacement, and pneumothorax were observed in all the patients, and the incision healing was smooth. All patients were followed up for 6-18 months. Among the 6 questions on the preoperative and postoperative ROE questionnaire, except for question 2, the difference between the the two was statistically significant ( t=7.58, P<0.05). Conclusions:The use of autologous costal cartilage combined with silicone prosthesis can effectively repair injection-type rhinoplasty, which can not only achieve satisfactory postoperative results, but also reduce surgical complications. It is easy to operate and worthy of choice in clinical practice.
