Tutoplast-Processed Costal Cartilage를 이용한 융비술의 임상적 분석

Background and Objectives: Autologous costal cartilage is difficult to harvest and may be associated with significant donor site morbidity and prolongation of time in surgery. So Tutoplast-processed costal cartilage (TPCC) could be used as an alternative graft material for rhinoplasty. Materials and Method: 21 patients (M: F= 17: 4, age ranging from 31 to 65) who received augmentation rhinoplasty with TPCC were enrolled. We have used only the block form in 16 cases and the block form with the sliced form in 5 cases. Results: Most post-operative results were satisfied. Complications such as shifting of the graft, excessive tip rotation, and tip asymmetry were noticed in only 3 cases. The other complications were not found. Conclusions: The result shows that TPCC has benefits of an ideal graft for augmentation rhinoplasty. It is readily available, can be easily contoured, shortens the surgical time by elimination of graft harvest and avoids donor-site morbidity. But, the expensiveness and the complications of TPCC indicate that care should be taken before using TPCC for augmentation rhinoplasty. (J Clinical Otolaryngol 2009;20:224-228)