The application of mortise and tenon structure in nasal reconstruction
10.3760/cma.j.cn114453-20191010-00300
- VernacularTitle:榫卯结构在鼻缺损及畸形修复手术支架构建中的应用
- Author:
Ruobing ZHENG
1
;
Fei FAN
;
Jianjun YOU
;
Huan WANG
;
Yihao XU
;
Xulong ZHANG
;
Le TIAN
Author Information
1. 中国医学科学院北京协和医学院整形外科医院鼻整形与再造中心 100144
- Keywords:
Nasal reconstruction;
Framework;
Costal cartilage;
Mortise and tenon structure
- From:
Chinese Journal of Plastic Surgery
2020;36(6):600-605
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the method of building the costal cartilage framework and improving the stability of the framework in reconstructive rhinoplasty.Methods:Fifteen patients (9 males and 6 females)underwent nasal reconstruction with the use of mortise and tenon structure in costal cartilage framework during January 2016 to February 2019 were included. The age ranged from 6 to 43 years old, with an average of 21 years old. Eight patients were nasal defect. Five patients were Tessier No.0 cleft (median cleft face syndrome) and two patients were Binder syndrome. Mortise and tenon structure were used in all the cases when building the costal cartilage framework.Results:Postoperative follow-up was from 4 to 46 months. There’s no collapse of the cartilage framework. One patient with proboscis lateralis suffered from evident framework displacement while others’ framework was in the middle. Patients were satisfied with the outcome.Conclusions:Costal cartilage framework makes great contribution to the three-dimensional structure and resist the tension of the flap. Mortise and tenon structure can effectively improve the stability of the framework which maintains long term result.
