Prevention and treatment strategy for deviation of costal cartilage dorsal onlay graft in rhinoplasty
10.3760/cma.j.issn.1671-0290.2022.04.007
- VernacularTitle:鼻整形术块状肋软骨鼻背移植物偏曲的防治效果
- Author:
Fanglin ZENG
1
;
Xiaojian LIANG
;
Xiankui HAN
;
Ruobin LI
;
Hui TIAN
;
Chunhong LIANG
;
Yanan BAO
Author Information
1. 深圳美莱医疗美容医院，深圳 518000
- Keywords:
Nose;
Rhinoplasty;
Massive costal cartilage dorsal onlay graft;
Deviation;
Prevention and treatment strategy
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(4):282-286
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevention and treatment for deviation of costal cartilage dorsal onlay grafts in rhinoplasty.Methods:From January 2010 to October 2020, a total of 588 patients (83 male cases, 505 female cases, age range from 25 years to 55 years, 32±4 years in average) accepted costal cartilage rhinoplasty in Shenzhen Mylike Medical Plastic Aesthetic Hospital. During the operation, various methods were used in the process of catilage selection, water bath, sculpture, treatment of nasal dorsal, graft fixation and fascial modification to prevent and treat the deformation and displacement of the costal cartilage dorsal onlay grafts.Results:The immediate postoperative photograph of 588 cases showed that costal cartilage dorsal onlay graft was put on the middle of dorsum. After a follow-up period of 396 cases from 6 to 60 months, the average follow-up period was 12.1 months, there were 44 cases happened with the deviation of dorsal onlay grafts, and deviation was managed after the second rhinoplasty surgery. There was no prolonged function sequela such as ventilation dysfunction, abnormal sensation, or hyposmia occured. 362 cases were satisfied with the aesthetic effect.Conclusions:It is particularly important to grasp the principles of managing costal cartilage in rhinoplasty and to learn how to prevent and treat postoperative complications of costal cartilage dorsal onlay graft.
