Clinical experience of butterfly costal cartilage as columella strut graft
10.3760/cma.j.issn.1671-0290.2019.06.008
- VernacularTitle: 鼻成形中肋软骨蝶形鼻小柱支撑移植物的效果
- Author:
Yanfeng ZHAO
1
;
Jun HAO
2
;
Dongchao GUO
3
;
Yan WANG
4
Author Information
1. Shang-Haimei-Gui Medical Aesthetic Hospital, Shanghai 200070, China
2. Shi Jia-zhuang Wan-rui Medical Cosmetology Clinic, Shijiazhuang 050000, China
3. Shi Jia-Zhuangxingyuan Medical Cosmetology Hospital, Shijiazhuang 050000, China
4. The Eighth Hospital of Shi Jia-zhuang, Shijiazhuang 050081, China
- Publication Type:Clinical Trail
- Keywords:
Nose;
Surgery, plastic;
Costal cartilage;
Autografts
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2019;25(6):471-473
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the use of butterfly costal cartilage as columella strut graft.
Methods:On the costal cartilage that being cut, butterfly graft was designed length of 2.8 cm, upper and lower end thickness of 5 mm, middle part thickness of 1.5 mm. The lower end was designed with a groove about 1 cm in length, the width of the lower end of the butterfly graft was determined according to the degree of retraction at the caudal end of the septum, then insert to the nasal crest. The posterior end of two lamella grafts was sutured and fixed with the middle part of the nasal columnar strut graft.
Results:From November 2016 to March 2018, about 150 patients underwent rhinoplasty with this method, follow-up was 3 to 12 months. Two cases had mild nasal tip deviation one month after surgery and were adjusted with auricular cartilage three months later. Three patients had mild postoperative hyporotation and adjustment three months postoperatively, residual had good shape.
Conclusions:The stability and controllability of the sphenoid columella strut graft are good, out of shape not easily, It is a worthy clinical method.
