1. Application of autologous cartilage and prevention of its complications in rhinoplasty
Sheng ZOU ; Xiancheng WANG ; Xianxi MENG
Chinese Journal of Plastic Surgery 2018;34(11):973-977
Because of the versatility of autologous cartilage and proven advantages, it has been widely used in all kinds of rhinoplasty. Autologous cartilage have good biocompatibility with less complications such as infection, extrusion of graft, compared to biological synthetic materials, so it is generally considered the primary graft for nasal surgery especially septal, conchal and costal cartilage. With the popular clinical application of autologous cartilage, problem also arised and considered.The purpose of this paper is to review the application of autologous cartilage and complications in rhinoplasty.
2. Analysis of tissue volume and calcification of the 6th to 8th costal cartilage in 70 women
Ying WU ; Xiancheng WANG ; Xiang XIONG ; Yang SUN ; Xianxi MENG ; Xiaofang LI
Chinese Journal of Plastic Surgery 2019;35(8):764-771
Objective:
To study the tissue size, calcification characteristics and the correlation between calcification and age and lateral side of 6, 7 and 8 costal cartilage in women, so as to provide reference for clinical application.
Methods:
From the radiology storage center of Second Xiangya Hospital, 70 cases of female costal cartilage were treated with dual-source CT three-dimensional reconstruction. The reconstructed images were treated with maximum intensity projection (MIP) and volume reconstruction (VR). The length, width and thickness of bilateral 6, 7 and 8 costal cartilage were measured by VR images, and the correlation between calcification rate, calcification degree, calcification type, calcification location, calcification with age and side was observed and analyzed on VR and MIP images. The data were analyzed by SPSS 20.0 and compared by corresponding statistical method, including independent sample
3. The application of diced cartilage in postoperative nasal deformity of cleft lip surgery
Ying LIANG ; Xiancheng WANG ; Yang SUN ; Xiang XIONG ; Xianxi MENG ; Fanglin ZENG ; Yuanming YANG ; Jinyuan CHANG ; Yiming HU ; Conghang JIANG ; Xiaofang LI ; Borong FANG
Chinese Journal of Plastic Surgery 2020;36(1):49-52
Objective:
To investigate the clinical effect of diced cartilage in correcting nasal alar base depression after cleft lip surgery.
Methods:
A retrospective study was conducted in 15 patients of nasal deformity after lip surgery from January 2018 to January 2019. All the patients were taken from autologous costal cartilage to reconstruct the outline of nasal malformation, and the remaining autologous costal cartilage was cut into 0.5-1.0 mm pieces and filled into the basilar lacunar space of the nasal alar by the 1 ml syringe whose anterior needle nipples was removed. The effects of visual images before and after operation were compared and analyzed by Adobe Photoshop CS6 software. The patients were followed up for 6-15 months (mean 10months). The satisfaction and complications of the patients were investigated.
Results:
The nasal alar base was significantly elevated and the outline of the nasal deformity was improved in 15 patients after operation. The overall effect was satisfactory and no obvious complications were found. No obvious absorption was found in the follow-up.
Conclusions
The application of diced cartilage to correct the nasal alar base depression after cleft lip surgery was a feasible method with important clinical value. It advanced in taking good use of the remaining cartilage and reducing the damage to both the donor and recipient area.