Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

이개 연골 나비이식(Conchal Cartilage Butterfly Graft)의 술기변형을 통한 양쪽 상외측 비연골 기능 부전 교정의 개선된 수술 방법

김애리1, 최익수1, 전병훈1, 장진순1,*
A Ri Kim1, Ick Soo Choi1, Byung Hoon Jun1, Jin Soon Chang1,*
1인제대학교 의과대학 서울백병원 이비인후과학교실
1Department of Otolaryngology-Head & Neck Surgery, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea
*교신저자: 장진순, 100-032 서울 중구 저동 2가 인제대학교 의과대학 서울백병원 이비인후과학교실 전화 :(02) 2270-0070~2, 0075 전송:(02) 2270-0073 E-mail:jsc4g@naver.com

© Copyright 2010 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jul 23, 2010; Revised: Aug 06, 2010; Accepted: Sep 03, 2010

Published Online: May 31, 2020

ABSTRACT

The conchal cartilage butterfly graft has been shown to be an effective technique to correct dysfunctional middle vault due to overly collapsed bilateral upper lateral cartilage. In this case report, we describe two technical modifications of this technique to ensure secure middle vault nasal airway patency and to enhance surgical outcome. First, conchal cartilage is placed on the top of upper lateral cartilage in dorsal concave fashion rather than conventional dorsal convex pattern. Secondly, suture traction between the collapsed upper lateral cartilage and conchal graft was carried out to further resist collapse and provide prolonged durability. We believe that this technical modification offers a more refined method to correct collapsed bilateral upper lateral cartilage than the standard conventional technique. Therefore, we report in detail an improved operative technique that was performed on a 43 year-old male with chronic persistent nasal obstruction because of overly collapsed upper lateral cartilage. (J Clinical Otolaryngol 2010;21:257-260)

Keywords: 비연골; 이식; 봉합; 코막힘
Keywords: Nasal cartilage; Graft; Suture; Nasal obstruction