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비밸브 허탈 교정을 위한 펼침이식 두께의 조정 방법

How to Adjust the Thickness of the Spreader Graft in Nasal Valve Collapse

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주제분류이비인후과학

초록

Nasal valve collapse is one of the causes of nasal obstruction and must be considered in patientswith nasal obstruction. There are several surgical procedures available to treat nasalvalve collapse. Spreader grafts can be used in the treatment of nasal valve collapse by wideningthe internal nasal valve angle and maintaining the widened angle. However, this procedurerequires sufficient amount of cartilage harvested from the nasal septum. Especially, in casesof secondary rhinoplasty or some primary nasal surgery with thin septal cartilage, it is difficultto harvest an appropriate amount of cartilage from the septum. Here, we describe an effectivetechnique for using septal cartilage and TnR Nasal Mesh® (T&R Biofab Co., Ltd) forspreader grafts with appropriate thickness in nasal valve collapse.

Abstract

Nasal valve collapse is one of the causes of nasal obstruction and must be considered in patientswith nasal obstruction. There are several surgical procedures available to treat nasalvalve collapse. Spreader grafts can be used in the treatment of nasal valve collapse by wideningthe internal nasal valve angle and maintaining the widened angle. However, this procedurerequires sufficient amount of cartilage harvested from the nasal septum. Especially, in casesof secondary rhinoplasty or some primary nasal surgery with thin septal cartilage, it is difficultto harvest an appropriate amount of cartilage from the septum. Here, we describe an effectivetechnique for using septal cartilage and TnR Nasal Mesh® (T&R Biofab Co., Ltd) forspreader grafts with appropriate thickness in nasal valve collapse.

참고문헌 (9)

  1. 김호찬, "네비게이션을 이용한 비밸브 기능저하의 원인 규명과 치료 1예", 임상이비인후과, 29(2), pp.269~275 (2018), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
  2. Teymoortash A, "The value of spreader grafts in rhinoplasty : A critical review", Eur Arch Otorhinolaryngol, 269(5), pp.1411~1416 (2012)
  3. 장진순, "비밸브 기능저하의 수술적 치료", 대한이비인후-두경부외과학회지, 57(4), pp.214~225 (2014), 대한이비인후과학회[DOI]
  4. 박근우, "TnR Nasal Mesh®를 이용한 내시경적 안와내벽외향골절 정복술 2예", 임상이비인후과, 31(2), pp.243~247 (2020), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
  5. 강재윤, "비중격 외비성형술에서 이식 재료로써 Polylactic-Co-Glycolic Acid Plate의 유용성", 대한이비인후-두경부외과학회지, 64(9), pp.635~640 (2021), 대한이비인후과학회
  6. Hyun S, "Polycaprolactone mesh for Asian rhinoplasty : Outcomes and complications of composite septal extension graft compared to mesh-only graft", Facial Plast Surg, 38(2), pp.207~213 (2022)
  7. Garg LN, "Spreader graft placement : An effective procedure for alleviation of internal nasal valve collapse", J Oral Maxillofac Surg, 79(10), pp.2134~2142 (2021)
  8. Kim BK, "Use of an augmentation spreader graft for management of nasofacial angle in patients with pseudo-hump", Ann Plast Surg, 82(4), pp.369~374 (2019)
  9. Park YJ, "Clinical application of threedimensionally printed biomaterial polycaprolactone(PCL)in augmentation rhinoplasty", Aesthetic Plast Surg, 43(2), pp.437~446 (2019)

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