異體肋軟骨(簡稱人工肋骨)移植在亞洲人種隆鼻的使用經驗

 

作者:曾文尚醫師

曾文尚醫師、林敬鈞醫師與雅丰時尚醫療團隊的整形外科醫師(張松源醫師、林孟羲醫師、黃俊源醫師)於2012年12月9日在台灣美容外科醫學會第九屆會員大會學術研討會中,發表了「異體肋軟骨移植在亞洲人種隆鼻的使用經驗」。

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英文論文摘要
Purpose:
Two-pieces rhinoplasty with cartilage graft for Asian is becoming a popular surgical method for oriental nose in recent years . Autologous cartilage graft is usually the first choice, such as septal cartilage using for columella strut or extension graft and auricular cartilage using for nasal tip cap graft and shield graft. Homologous costal cartilage graft is a commercially available substitue of extension graft for patients with insufficient septal cartilage support.The present report evaluattes the use of homologous costal cartilage graft in two-pieces rhinoplasty.

Materials and Methods:
The study population consisted of 50 consecutive patients and a minimum follow-up of 12 months from 2010 to 2012 in Aphrodite Fashion Clinic( 雅丰時尚診所). The study involved a retrospective review of two-pieces rhinoplasty cases using homologous costal cartilage graft.

Results:
Homologous costal cartilage graft was used as extension graft in fresh cases with insufficient septal cartilage support, in secondary rhinoplasty and in infected cases in this study. The cosmetic result and satisfactory got much improvement wit a minimum follow-up of 12 months.

Conclusion:
Homologous costal cartilage graft can be a suitable substitute of extension graft for patients with insufficient septal cartilage support. Homologous costal cartilage graft was particularly useful for secondary rhinoplasty and infected cases.


在曾文尚醫師的官網裡有數篇使用異體肋軟骨(簡稱人工肋骨)隆鼻的案例,使用異體肋軟骨隆鼻的術後改善效果及滿意度都很高。

所謂「異體肋軟骨 Allograft Rib Cartilage」(簡稱人工肋骨),即是取自人體的肋軟骨,經過醫療級的滅菌、去除人體抗原...特殊處理過程,達到安全無菌、降低排斥風險之醫療標準。異體肋軟骨經美國FDA核准使用在人體,而台灣衛生署也核准使用,並發予核可字號。



案例分析:
宣宣屬於典型的蒜頭鼻和短鼻子,曾文尚醫師為宣宣做正統韓式隆鼻手術採用異體肋軟骨來延長鼻子,比較宣宣的術前術後照片,可以發現改善鼻型的效果非常顯著,術後病人變漂亮許多,宣宣好開心喔。

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