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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Auricular cartilage grafts and nasal surgery.
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Auricular cartilage grafts and nasal surgery.

机译：耳软骨移植和鼻腔手术。

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OBJECTIVE: To illustrate the safety, effectiveness, and versatility of auricular cartilage grafts in nasal surgery. STUDY DESIGN: Retrospective chart review of the author's nasal surgery experience for an 8-year period. METHODS: Five hundred eight rhinoplasties were performed over an 8-year period. One hundred one of these cases used auricular cartilage grafts as donor material. RESULTS: Donor cartilage was used in a wide range of grafting techniques: tip grafts, dorsal onlays, spreader grafts, septal replacements, alar battens, composite grafts, etc. The average follow up was 12 months. The complication rate was low. Five patients experienced complications involving the auricular cartilage graft or its donor site. No patients experienced graft resorption or infection. Donor site morbidity was limited. No auricular infections or hematomas were observed. CONCLUSION: Septal cartilage is usually the first choice as donor material in nasal surgery; however, when indicated, auricular cartilage grafts can serve as a safe, effective, and versatile alternative. This conclusion is supported by their successful use in a wide variety of surgical techniques, with long-term follow-up. The author feels strongly that autografts should be favored over alloplastic material. Alloplastic grafts continue to present a risk of infection over the entire life of their use. When a rhinoplasty is performed skillfully with a cartilage autograft, time becomes an ally of the surgeon rather than an enemy.
机译：目的：说明耳鼻软骨手术在鼻腔手术中的安全性，有效性和多功能性。研究设计：回顾性图表回顾作者在8年期间的鼻腔手术经验。方法：在8年的时间内进行了508次隆鼻。这些案例中有101个使用耳软骨移植物作为供体材料。结果：供体软骨被广泛用于移植技术：尖端移植，背侧覆盖，扩张器移植，隔垫置换，翼骨板，复合移植等，平均随访时间为12个月。并发症发生率低。五名患者经历了耳软骨移植物或其供体部位的并发症。没有患者经历移植物吸收或感染。供体部位发病率有限。没有观察到耳廓感染或血肿。结论：鼻中隔软骨通常是鼻外科手术的首选材料。然而，当指出时，耳软骨移植物可以作为安全，有效和通用的替代方法。这一结论得到了他们在长期的随访中成功用于多种外科手术技术的支持。作者强烈认为自体移植应优于同种异体移植材料。同种异体移植物在其整个使用期限内继续存在感染风险。当用自体软骨熟练地进行隆鼻手术时，时间成为外科医生而不是敌人的盟友。

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