519 cases of autogenous costal cartilage combined with polytetrafluoroethylene rhinoplasty
10.3760/cma.j.issn.1009-4598.2018.11.005
- VernacularTitle: 519例自体肋软骨联合膨体聚四氟乙烯鼻综合整形
- Author:
Ke ZHOU
1
;
Jun TAO
;
Yipeng CHEN
;
Haibin LIANG
;
Xingzhen LIU
Author Information
1. Department of Plastic Surgery, Chengdu Tongquetai Cosmetic Surgery Hospital, Chengdu 610000, China
- Publication Type:Clinical Trail
- Keywords:
Costal cartilage;
Autotransplantation;
Rhinoplasty;
Polytetrafluoroethylene
- From:
Chinese Journal of Plastic Surgery
2018;34(11):907-911
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The purpose of this study is to explore the method and effect of autogenous costal cartilage combined with polytetrafluoroethylene in comprehensive rhinoplasty.
Methods:Among the 519 included cases, 441 cases underwent primary rhinoplasty, and 78 cases underwent revision after initial rhinoplasty. The 6th or 7th costal cartilage, with 4-5 cm in thickness, was taken to make a columella supporting graft, a nasal septum extension graft, a lateral foot support graft, and a nose tip shield graft. The nasal shape is corrected by the reconstruction of nasal tip supporting structure. Polytetrafluoroethylene was used as a nasal dorsal graft.
Results:After 3-24 months of follow-up, 510 patients received satisfactory nasal tip and nasal dorsum esthetics. One patient had a prosthesis removement one year after surgery. Eight cases showed a decrease in nasal tip excursion 2-6 months postoperatively, with reduced nasal tip prominence. However, satisfactory results obtained, after further correction 6 months later.
Conclusions:The combination of autogenous costal cartilage and polytetrafluoroethylene for rhinoplasty is an appropriate surgical procedure for Chinese.
