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비혹을 보존한 매부리코 교정 2예

Augmentation Rhinoplasty Using Nasal Hump : Report of Two Cases

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주제분류이비인후과학

초록

It is common to find a nose with a hump, lower nasal tip and a radix among Koreans. For better results, the pa- tients also need lifting the nasal tip as well as augmentation of the dorsum, nasion after humpectomy. In such case, since the amount of autologous cartilage is often insufficient, alloplastic implant is mainly used for surgery. However, if the patient has a rejection of the prosthesis, preserving the hump may reduce the amount of autolo- gous cartilage required for augmentation. By preserving the hump without removing it, we were able to reduce the amount of autologous cartilage needed for the operation and make satisfactory correction of the hump nose using only autologous cartilage

Abstract

It is common to find a nose with a hump, lower nasal tip and a radix among Koreans. For better results, the pa- tients also need lifting the nasal tip as well as augmentation of the dorsum, nasion after humpectomy. In such case, since the amount of autologous cartilage is often insufficient, alloplastic implant is mainly used for surgery. However, if the patient has a rejection of the prosthesis, preserving the hump may reduce the amount of autolo- gous cartilage required for augmentation. By preserving the hump without removing it, we were able to reduce the amount of autologous cartilage needed for the operation and make satisfactory correction of the hump nose using only autologous cartilage

참고문헌 (7)

  1. Sullivan MJ, "Surgery of the bony and cartilaginous dorsum", Otolaryngol Clin North Am, 20(4), pp.825~835 (1987)
  2. Ishida J, "Treatment of the nasal hump with preservation of the cartilaginous framework", Plast Reconstr Surg, 103(6), pp.1729~1733 (1999)
  3. Rohrich RJ, "Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty", Plast Reconstr Surg, 114(5), pp.1298~1308 (2004)
  4. Arslan E, "Upper lateral cartilage-sparing component dorsal hump reduction in primary rhinoplasty", Laryngoscope, 117(6), pp.990~996 (2007)
  5. Jin HR, "Nasal hump removal in Asians", Acta Otolaryngol Suppl, (558), pp.95~101 (2007)
  6. Jang YJ, "Classification of convex nasal dorsum deformities in Asian patients and treatment outcoms", J Plast Reconstr Aesthet Surg, 64(3), pp.301~306 (2011)
  7. 이호일, "실리콘 비근부 융비술을 통한 곡비의 교정", 대한이비인후-두경부외과학회지, 53(8), pp.486~490 (2010), 대한이비인후과학회

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