The application of endoscopy utilized to harvest the septal cartilage and ethmoid vertical plate in rhinoplasty
10.3760/cma.j.cn114453-20200121-00018
- VernacularTitle:内镜在鼻整形切取鼻中隔软骨和筛骨垂直板中的应用
- Author:
Xu ZHOU
1
;
Lehao WU
;
Kongying LI
;
Binghang LI
;
Jiaqi WANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院整形三科 100144
- Keywords:
Septal cartilage;
Ethmoid bone;
Rhinoplasty;
Polytetrafluoroethylene
- From:
Chinese Journal of Plastic Surgery
2020;36(7):764-769
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the experience and clinical effect of endoscopic assisted resection of septal cartilage and ethmoid bone vertical plate in rhinoplasty.Methods:Twenty women with short noses underwent septal extension graft from February 2018 to September 2019. Endoscopic technique was utilized to harvest the septal cartilage and ethmoid vertical plate. During the operation, the average area of septal cartilage was 22 mm × 15 mm, the average area of ethmoid bone vertical plate was 26mm × 16mm, and the septum retained a 10 mm wide " L" sturt. The septal cartilage and the vertical plate of the ethmoid bone were used as the columella strut and the extension graft respectively to reconstruct the shape of the tip of the nose. Expanded polytetrafluoroethylene was implanted in the nasal dorsum to increase its height.Results:The patients were followed up for 3-12 months at an average of 9 months. 20 patients achieved straight back of nose, symmetrical arch of nose and no deviation of columella. The tip of nose is soft without rigidity. There was no exposure of prosthesis or perforation of nasal septum. There was significant differences in the distance between the root and tip of nose before and after operation ( P<0.05). 2 patients complained of olfactory hypoesthesia and recovered spontaneously after 4 months. 1 patient was not satisfied with the improvement of the nasal projection. There was no obstruction of nasal ventilation and other dysfunction after operation. Conclusions:Endoscopy can assist the operator to harvest the septal cartilage and ethmoid bone vertical plate safely and accurately. The extension of nasal septum prepared by the cartilage of nasal septum combined with the vertical plate of ethmoid bone can effectively increase the length of nose.
