Clinical effect of autogenous costal cartilage combined with expanded polytetrafluoroethylene in repairing crooked nose deformity after rhinoplasty
Objective To investigate the clinical effect of repairing crooked nose deformity after rhinoplasty by autogenous costal cartilage combined with expanded polytetrafluoroethylene prosthesis.Methods From May 2022 to May 2023,a total of 42 cases of crooked nose deformity after rhinoplasty were repaired by autologous costal cartilage combined with expanded polytetrafluoroethylene prosthesis at the Duyun Shiguang Medical and Aesthetic Clinic.The methods of the first rhinoplasty were:ear cartilage combined with expanded polytetrafluoroethylene in 23 cases,ear cartilage combined with silica gel in 13 cases,and L-shaped silica gel alone in 6 cases.Among them,12 cases had different degrees of nasal obstruction.The surgical repair methods were carved rib cartilage transplantation,nasal septum deviation correction,nasal head stent reconstruction,nasal bone osteotomy,expanded polytetrafluoroethylene implant rhinoplasty,etc.After operation,the satisfaction of patients was investigated,the deviation value of nasal dorsum was measured,and the clinical effect and complications were observed.Results After 12 months of follow-up,34 cases were very satisfied,7 cases were satisfied,1 case was not satisfied,and none were very dissatisfied.There was one case of postoperative infection,no pneumothorax,hematoma,chest wall malformation,and prosthetic exposure.There were 12 patients with nasal obstruction before operation,and all of them improved after operation.Conclusions Autologous costocartilage combined with expanded polytetrafluoroethylene is a good graft material for repairing crooked nose deformity after rhinoplasty,which can achieve the purpose of reshaping good aesthetic nasal shape and restoring nasal ventilation function.
nasal plastic surgery and repaircostal cartilagecrooked nose deformityautograftcomplications
万方数据
维普
