功能性鼻整形术的并发症与软骨移植源相关
Montana K Upton1, Alexandra Ortiz1,2, Emma Neal3
1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Facial plastic surgery & aesthetic medicine
|March 27, 2025
概括
在功能性鼻整形中使用新鲜冷的尸体肋骨软骨 (FFCR) 与自身软骨相比,与更高的修订率有关. 讨论当自身移植不够时的风险和益处.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在重建中的生物材料.
背景情况:
- 功能性鼻膜整形经常使用软骨移植用于鼻重建.
- 移植材料的选择包括自主 (患者自己的) 和异种 (捐赠者) 来源.
研究的目的:
- 为了在功能性鼻整形中比较自身软骨和新鲜冷的尸体肋骨软骨 (FFCR) 之间的并发症率.
- 为了确定与每种移植类型相关的特定并发症.
主要方法:
- 功能性鼻整形患者 (2017-2022) 的回顾性队列研究.
- 对接受自生与FFCR移植的患者的结果进行比较.
- 主要结局:修复性鼻整形;次要结局:感染,持续性鼻塞.
主要成果:
- 15.8%的患者需要修复鼻美术.
- 与原生软骨 (4.0%) 相比,FFCR (12.1%) 的修订率显著更高.
- 在移植类型之间,感染或持续性鼻阻塞率没有显著差异.
结论:
- 新鲜冷的尸体肋骨软骨 (FFCR) 与功能性鼻整形中修复手术率的增加有关.
- 当自身软骨不足时,详细讨论FFCR风险和益处至关重要.
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