비중격 식피술 집도에 도움이 되는 유용한 수술 기법들
Septodermoplasty: Make It Easier
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Septodermoplasty (SDP) is a technique that presents a surgical option for the treatment of recalcitrantepistaxis from hereditary hemorrhagic telangiectasia. It involves the removal of affectednasal epithelium, replacing it with a split thickness skin graft (STSG). However, the inherentchallenges with SDP are that owing to the floppy and unstable nature of the STSG,especially if simultaneously grafting the lateral nasal wall in addition to the septum and nasalfloor, there is a risk of inadvertently stripping and displacing the STSG from its intended position. In this article we offer some techniques that utilize microdebrider for addressing mucosallesions and fixate silastic sheet on floppy STSG as a scaffold to make it firm and easy to handlein order to hold the graft right in place.
Abstract
Septodermoplasty (SDP) is a technique that presents a surgical option for the treatment of recalcitrantepistaxis from hereditary hemorrhagic telangiectasia. It involves the removal of affectednasal epithelium, replacing it with a split thickness skin graft (STSG). However, the inherentchallenges with SDP are that owing to the floppy and unstable nature of the STSG,especially if simultaneously grafting the lateral nasal wall in addition to the septum and nasalfloor, there is a risk of inadvertently stripping and displacing the STSG from its intended position. In this article we offer some techniques that utilize microdebrider for addressing mucosallesions and fixate silastic sheet on floppy STSG as a scaffold to make it firm and easy to handlein order to hold the graft right in place.
참고문헌 (8)
- Guttmacher AE, "Hereditary hemorrhagic telangiectasia", N Engl J Med, 333(14), pp.918~924 (1995)
- 양찬주, "유전성 출혈성 모세혈관 확장증에 의한 비출혈 환자에서 비중격식피술의 유용성", 대한이비인후-두경부외과학회지, 58(5), pp.330~336 (2015), 대한이비인후과학회[DOI]
- Saunders WH, "Hereditary hemorrhagic telangiectasia, its familial pattern, clinical characteristics, and surgical treatment", Arch Otolaryngol, 76(3), pp.245~260 (1962)
- Goldsmith MM, "Tips on septal dermoplasty", Laryngoscope, 97(8 Pt 1), pp.994~995 (1987)
- Fiorella ML, "Outcome of septal dermoplasty in patients with hereditary hemorrhagic telangiectasia", Laryngoscope, 115(2), pp.301~305 (2005)
- Ichimura K, "A new method of nasal dermoplasty(MW grafting method)in patients with large septal perforation", Laryngoscope, 121(8), pp.1715~1717 (2011)
- Rimmer J, "A modified technique for septodermoplasty in hereditary hemorrhagic telangiectasia", Laryngoscope, 124(1), pp.67~69 (2014)
- Bastianelli M, "Technique modifications for septodermoplasty : An illustrative case", J Otolaryngol Head Neck Surg, 44, pp.59~ (2015)