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학회지 > 논문검색
논문 검색
Man Koon Suh, M.D.
JW (Jeong Won) Plastic Surgery Clinic, Seoul, Korea
Contracted Short Nose Correction Using Irradiated Homologous Costal Cartilage
J Korean Soc Aesthetic Plast Surg 2010 (Oct) 016(02) 117-124
Rhinoplasty, Rib, Cartilage, Allograft, Acquired nasal deformities
Ksaps016-03-02.pdf Ksaps016-03-02.pdf
Septal extension graft is a frequently used technique for correction of the contracted short nose, in
which septal cartilage is a first choice for the graft. However, we sometimes encounter situations
where septal cartilage is not available. Autogenous rib cartilage can be a good option, but some
female patients fear of a bigger operation and do not want a scar around the breast. In such cases,
irradiated homologous costal cartilage can be a useful alternative. 38 cases of contracted short nose
deformities were treated using the septal extension graft with homologous costal cartilage (34 cases
with Tutoplast -processed cartilage, 4 cases with Allowash -processed cartilage). Follow-up period
ranged from 2 months to 32 months. Good aesthetic and functional results were obtained. Neither
infection nor unfavorable results were found. There was no graft warping, except two cases of graft
avulsion fracture and one case of minimal nasal obstruction. There was no definite evidence of
greater graft resorption compared to the autogenous rib. Homologous costal cartilage can be a safe
and reliable material for rhinoplasty, especially in the absence of available autogenous cartilage
sources. (J Korean Soc Aesthetic Plast Surg 16: 117, 2010)
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2010 (Oct) 016(02) 117-124