BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yield...BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yields satisfactory outcomes.However,this technique may lead to complications,including ischemia,necrosis,and over-augmentation.The most appropriate management of these complications,including infection,is immediate implant removal and revision surgery once the accompanying inflammation has healed.Occasionally,the patient may experience distress from nasal deformities during the intervention period.CASE SUMMARY Herein,we describe the case of a patient who underwent a secondary dorsal augmentation,with a folded dermofat graft harvested from the inguinal area and simultaneous implant removal,successfully preventing dimpling of the nasal deformity.CONCLUSION This surgical method can effectively manage implant-related complications following augmentation rhinoplasty using a silicone implant and provide satis-factory patient outcomes.展开更多
Aim:The authors observed the nostril floor in a gross cadaver specimen histologically and innovated a medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation.Methods:In cadaver,ful...Aim:The authors observed the nostril floor in a gross cadaver specimen histologically and innovated a medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation.Methods:In cadaver,fully thick section was taken from the nostril sill at the midpoint of the columella base and ala base,and stained with Masson-Trichrome.In eight patients,circumferential incision along the nostril sill and alar base freed the alar base from the upper lip.At the columellar base,fresh epithelium was shaved on the medial side of the incision line.The widened scar on the upper lip was excised.The de-epithelialized tip of the columellar base was pulled under the medial tip of the alar base flap and sutured tightly.Four anthropometric distances were measured preoperatively and postoperatively.Results:Histologically the nostril sill was composed of thickened dermis.Just below the dermis,the depressor septi nasi muscle ran obliquely,augmenting the nostril sill.The nostril floor width,alar distance,and alar curvature distance decreased on the cleft side after the operation.Conclusion:A medially based de-epithelialized flap narrows the alar base and augments the nostril sill simultaneously,since the de-epithelialized part of the excess skin augments the depressed nostril sill.展开更多
文摘BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yields satisfactory outcomes.However,this technique may lead to complications,including ischemia,necrosis,and over-augmentation.The most appropriate management of these complications,including infection,is immediate implant removal and revision surgery once the accompanying inflammation has healed.Occasionally,the patient may experience distress from nasal deformities during the intervention period.CASE SUMMARY Herein,we describe the case of a patient who underwent a secondary dorsal augmentation,with a folded dermofat graft harvested from the inguinal area and simultaneous implant removal,successfully preventing dimpling of the nasal deformity.CONCLUSION This surgical method can effectively manage implant-related complications following augmentation rhinoplasty using a silicone implant and provide satis-factory patient outcomes.
基金supported by Inha University(INHA-Research Grant).
文摘Aim:The authors observed the nostril floor in a gross cadaver specimen histologically and innovated a medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation.Methods:In cadaver,fully thick section was taken from the nostril sill at the midpoint of the columella base and ala base,and stained with Masson-Trichrome.In eight patients,circumferential incision along the nostril sill and alar base freed the alar base from the upper lip.At the columellar base,fresh epithelium was shaved on the medial side of the incision line.The widened scar on the upper lip was excised.The de-epithelialized tip of the columellar base was pulled under the medial tip of the alar base flap and sutured tightly.Four anthropometric distances were measured preoperatively and postoperatively.Results:Histologically the nostril sill was composed of thickened dermis.Just below the dermis,the depressor septi nasi muscle ran obliquely,augmenting the nostril sill.The nostril floor width,alar distance,and alar curvature distance decreased on the cleft side after the operation.Conclusion:A medially based de-epithelialized flap narrows the alar base and augments the nostril sill simultaneously,since the de-epithelialized part of the excess skin augments the depressed nostril sill.
