Costal supporting structure for nasal reconstruction
10.3760/cma.j.issn.1009-4598.2017.s1.015
- VernacularTitle:鼻再造术中肋软骨支架结构的构建
- Author:
Xiaona LU
1
;
Huan WANG
;
Jianjun YOU
;
Yihao XU
;
Bo ZHANG
;
Ruobing ZHENG
;
Le TIAN
;
Fei FAN
Author Information
1. 中国医学科学院北京协和医学院整形外科医院十二科鼻整形与鼻再造中心
- Keywords:
Supporting structure;
Framework;
Cartilage;
Nasal reconstruction
- From:
Chinese Journal of Plastic Surgery
2017;33(z1):72-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate amethod of building supporting structure in nasal reconstruction with more stable effect and better aestheticresult .It was intended to highlight the key points during the process of nasal reconstruction .Methods A retrospective analyze was done to all the patients in our center from January 2010 to July 2015. Patients' characteristics, flaps, supporting framework, defect location by subunits were recorded .Results 233 patients were included ( 126 males and 97 females) in this study.The age ranged from 4 to 60 years old with an average of 25.4 ys.Defects most commonly involved were nasal ala and tip with the average defect location of 4.39 subunits. Reconstructionmethod was given priority to expanded forehead flapto cover the costal cartilage framework . Postoperative follow-up was from 6 to 36 months.All the patients reported increased nasal appearance and function evaluation .Conclusions The stable and strong supporting structure has become an important factor to achieve the final esthetical and functionalresult of nasal reconstruction , no matter which kind of the flaps was used in the process .Costal cartilage enjoyswide applications and reliable effect , so it is a recommendable material for supporting structure in nasal reconstruction .