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

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 study.Objectives The purpose of this study was to assess the outcomes of rhinoplasty performed on patients using autogenous costal cartilage grafts combined with an ePTFE implant.Methods Seventy-five rhinoplasty cases with autologous costal cartilage grafts and an ePTFE implant were retrospectively reviewed.Graft types,complications associated with the graft itself or graft harvesting,surgical outcomes,and patient satisfaction were assessed.Results The mean follow-up time post-operation was 13.5 months.A total of 42/75 patients underwent revision surgeries.Graft-related complications were found in 8%of cases,including two warped graft and four infection cases.Three individuals with infections had mild graft resorption.One patient with an infection removed the implant.Graft exposure,mobility,and substantial resorption were not recorded.A total of two cases underwent revision procedures for infection and perforation,respectively.Chest incision lengths for graft harvesting averaged 2.1 cm.No pneumothorax or significant donor-site pain was found.Donor-site scars were negligible,although two cases had hypertrophic chest scars.In general,functional and esthetic outcomes were mostly satisfactory among the assessed patients.Conclusions Rhinoplasty using autologous rib cartilage provides adequate support and sufficient cartilage amounts for correcting nasal contouring.Meanwhile,ePTFE alone for nasal dorsum augmentation safely achieves satisfactory outcomes.Rib 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.

驯化复合微生物菌群处理废弃钻井泥浆活性研究

【背景】油田废弃钻井泥浆含油量高,污染物复杂,环境危害严重,现有技术无法满足日益发展的石油开采行业在废弃钻井泥浆处理方面的需求。生物法处理废弃钻井泥浆,工艺简单,成本低,但也存在局限,包括广谱性差、处理周期长、原油降解率低、泥浆性质波动冲击工艺稳定性等。【目的】构建一种高活性和高环境耐受能力的微生物菌群,分析遗传稳定性和综合性能,提高废弃钻井泥浆处理技术水平。【方法】通过定向富集、诱导驯化的方法,提高活性群落对石油烃乳化降解效率,降低共代谢底物反馈抑制和群体感应系统敏感度,分析群落结构和活性成员的种群类别,分析乳化降解石油烃的活性对应关系。【结果】从含油量超过12g/kg、芳烃-胶质沥青含量超过80%、含盐量超过8g/kg的钻井废弃泥浆中富集得到1个活性微生物菌群,主要成员包括假单胞菌属(Pseudomonas)、根瘤菌属(Rhizobium)、红细菌属(Rhodobacter)和嗜碱还原硫素杆菌(Dethiobacter alkaliphilus),比例分别达27.44%、20.73%、8.54%和7.93%。在超过22代的连续驯化过程中,假单胞菌(Pseudomonas)、类希瓦氏菌(Alishewanella)和盐单胞菌(Halomonas)数量达92.72%,菌群结构和活性趋于稳定。处理钻井废弃泥浆5 d,土壤含油率由处理前的12403 mg/kg降低到处理后的42 mg/kg,综合脱油效率99.67%,石油烃降解率68.9%。分析微生物群落作用前后石油饱和土壤中的石油含量变化,原始含油量261 g/kg,处理后含油量305 mg/kg,脱油率99.88%。【结论】菌群驯化后活性稳定,耐受高盐环境能力强,在钻井废弃泥浆、含油土壤及油泥污染物处理方面具有很强的工业应用潜力。