在隆鼻术中使用移植材料

Armen Harutyunyan
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引用次数: 0

摘要

背景:各种移植材料被广泛应用于鼻整形术中。然而,在不同的临床情况下如何选择最佳材料仍是一个争论不休的问题。作者分析了鼻整形术中使用的各种材料的现有文献,以评估每种材料的优缺点:为了进行文献分析,作者检索了 Cochrane Library、Embase 和 PubMed 网站。搜索关键词包括自体移植物(鼻中隔软骨、耳廓软骨、肋软骨)、异体移植物、骨移植物、软组织移植物、PRP、流体软骨、鼻填充物和异体植入物;评估了每种材料的使用效果、吸收结果、并发症、患者的功能和美学满意度。在分析考虑的 127 篇文章中,有 57 篇符合纳入标准。自体软骨移植被广泛用于背侧隆胸。自体软骨移植可以提供不同数量的软骨,当需要高结构稳定性时,可以使用骨。然而,由于手术时间较长,并不是所有患者都能接受自体软骨移植手术,而且手术可能会在供体部位引起令人不快的并发症,如长时间疼痛、气胸和疤痕。替代自体软骨移植的方法是异体软骨移植(辐照和非辐照肋骨),而非细胞真皮基质的优点是不需要额外的手术部位。结论:作者希望通过这篇综述阐明如何选择最佳材料,从而使外科医生获得稳定的鼻部结构、最佳的美学和功能效果。还需要进一步研究,为选择合适的鼻整形材料制定明确的指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
USE OF GRAFTS MATERIALS IN DORSAL AUGMENTATION RHINOPLASTY
Background: Various grafting materials are widely used in rhinoplasty. However, the choice of the optimal material in different clinical situations remains a matter of debate. The author analyzes the available literature on the various materials used in rhinoplasty to evaluate the advantages and disadvantages of each. Methods: For literature analysis, Cochrane Library, Embase and PubMed websites were searched. Autograft, (septal cartilage, auricular cartilage, costal cartilage), allograft, bone grafts, soft tissue grafts, PRP, fluid cartilage, rhinofiller and alloplastic implants, were used as search keywords; the effectiveness of the use of each material, resorption results, complications, functional and aesthetic satisfaction of patients were evaluated. From the 127 articles considered in the analysis, 57 articles that met the inclusion criteria were included. Autologous cartilage grafts are widely used for dorsal augmentation. Autografts can provide varying amounts of cartilage when high structural stability is required, bone can be used. However, surgery to harvest a cartilage autograft is not in all cases acceptable to patients due to the duration of the operation and can cause unpleasant complications at the donor site, such as prolonged pain, pneumothorax, and scarring. An alternative to autograft is allografts (irradiated and non-irradiated rib) and the acellular dermal matrix has the advantage of eliminating the need for an additional surgical site. Conclusions: With this comprehensive review, the authors hope to clarify the choice of the most optimal material, which can enable the surgeon to obtain a stable nasal architecture, optimal aesthetic and functional results. Further research is needed to establish clear guidelines for selecting an appropriate rhinoplasty material.
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