1.Safety outcome of yap technique in structural rhinoplasty with PCL mesh as unilateral extended spreader graft and end-to-end septal extension graft: A four-year single surgeon experience
Joy C. Sy ; Josephine Grace Rojo Tan ; Eduard M. Alfanta ; Eduardo C. Yap
Philippine Journal of Otolaryngology Head and Neck Surgery 2025;40(1):42-46
Objective:
To look at the outcomes of a single surgeon’s experience using Yap Technique in utilizing PCL mesh for nasal tip support from August 2018 to July 2022 with a follow-up of six months to four years.
Methods:
Design: Retrospective Case Series
Setting: Private Outpatient Surgical Centers
Participants: 697 patients
Results:
From a total of 1,404 cases performed from August 2018 to July 2022, PCL mesh was used in 697 cases (49.6 %). There were 74 males and 623 females with ages ranging from 15-63 (mean age 28). Out of the 697, there were no cases reported to have extrusion or hemorrhage requiring revision surgery within the 6 month to 4 year post operative period. There were two cases of caudal strut deviation needing minor procedure of submucous resection at 6 months and 1-year post-operative period, respectively. Only one case developed bleeding and significant deviation requiring removal of PCL mesh because of trauma at around 1-year post-operative period.
Conclusion
The index surgeon’s 4-year experience with PCL mesh as tip support in structural rhinoplasty using Yap technique resulted in generally favorable outcomes with only 1 reported complication needing removal.
polycaprolactone


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