Use of Autologous Costal Cartilage Combined with Expanded Polytetrafluoroethylene in Asian Rhinoplasty

作     者：Yang AN Jianfang ZHAO Lu LU Yonghuan ZHEN Xiaojie TAN Dong LI Yang AN;Jianfang ZHAO;Lu LU;Yonghuan ZHEN;Xiaojie TAN;Dong LI

作者机构：Department of Plastic SurgeryPeking University Third Hospital49 North Garden RoadHaidian DistrictBeijing100191China Department of Plastic SurgeryPeking University International HospitalBeijing102206China School of Life SciencesCollege of MedicalVeterinary and Life SciencesUniversity of GlasgowGlasgowG128QQUnited Kingdom 

出 版 物：《Chinese Journal of Plastic and Reconstructive Surgery》 (Chin. J. Plast. Reconstr. Surg.)

年 卷 期：2020年第2卷第2期

页      面：69-77页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

基　　金：This work was supported by Key Clinical Projects of Peking University Third Hospital(No.BYSYZD2019013) the Scientific Research Staring Foundation for the Returned Overseas Chinese Scholars,Peking University Third Hospital(No.BYSYLXHG2019001) 

主　　题：Asian rhinoplasty autologous costal cartilage ePTFE implant 

摘      要：Background The corresponding author s experience and recent methods employed in autologous costal cartilage grafts combined with expanded polytetrafluoroethylene(ePTFE)in Asian rhinoplasty were presented in this *** The purpose of this study was to assess the outcomes of rhinoplasty performed on patients using autogenous costal cartilage grafts combined with an ePTFE *** Seventy-five rhinoplasty cases with autologous costal cartilage grafts and an ePTFE implant were retrospectively *** types,complications associated with the graft itself or graft harvesting,surgical outcomes,and patient satisfaction were *** The mean follow-up time post-operation was 13.5 months.A total of 42/75 patients underwent revision ***-related complications were found in 8%of cases,including two warped graft and four infection *** individuals with infections had mild graft *** patient with an infection removed the *** exposure,mobility,and substantial resorption were not recorded.A total of two cases underwent revision procedures for infection and perforation,*** incision lengths for graft harvesting averaged 2.1 *** pneumothorax or significant donor-site pain was ***-site scars were negligible,although two cases had hypertrophic chest *** general,functional and esthetic outcomes were mostly satisfactory among the assessed *** Rhinoplasty using autologous rib cartilage provides adequate support and sufficient cartilage amounts for correcting nasal ***,ePTFE alone for nasal dorsum augmentation safely achieves satisfactory *** cartilage rhinoplasty performed by an experienced surgeon yields excellent,long-lasting results with minimal risk;however,the potential for infection should be considered following revision surgery.