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

한국인의 비배 융기술에서 동종 대퇴근막의 유용성

이은섭1, 윤상원1, 김지선1,*
Eun Sub Lee1, Sang Won Yoon1, Ji Sun Kim1,*
1을지대학교 의과대학 서울을지병원 이비인후과학교실
1Department of Otorhinolaryngology, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
*교신저자: 김지선, 01830 서울 노원구 한글비석로 68 을지 대학교 의과대학 서울을지 병원 이 비 인후과학교실 전화: (02) 970-8276·전송: (02) 970-8275 E-mail: vicky96@eulji.ac.kr

© Copyright 2015 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: Sep 25, 2015; Revised: Nov 10, 2015; Accepted: Nov 25, 2015

Published Online: May 31, 2020

ABSTRACT

Background: Although autologous material is ideal, autologous nasal dorsal grafts have limitations including limited tissue availability, donor site morbidity and postoperative deformities owing to warping or resorption. Tutoplast processed fascia lata (TPFL)has been popularly used in Asian dorsal augmentation these days. Our aim was to evaluate the effectiveness and surgical outcomes of TPFL as graft material for nasal dorsal augmentation in Koreans. Methods: 91 patients(68 male, 23 female), who underwent TPFL grafting to the nasal dorsum were included. The age distribution varied from 16 to 61 years (mean age of 29.9 years), All surgical procedures were performed by the single surgeon. Patient’s record was reviewed retrospectively including age, sex, indications for surgery, dorsal graft material, and postoperative complications. Surgical outcome was evaluated using the comparison of preoperative photograph with postoperative photograph. The follow-up period ranged from 6 months to 39 months, with a mean follow-up of 11.3 months. Results: TPFL was used in 65 cases of deviated nose. Other cases included 14 flat noses, 8 hump noses, 3 revision cases after dorsal silicone graft and one saddle nose. During the follow-up period, no major complications such as infection, graft displacement, or extrusion were observed in fascia lata group. The only complication was major resorption in two cases (2.2%) who needed revision surgery. Conclusions: The TPFL alone or TPFL in combination with other materials may be useful for a minor dorsal augmentation and dorsal contouring material in rhinoplasty. (J Clinical Otolaryngol 2015;26:219–224)

Keywords: 비배 융기술; 비성형술; 동종 대퇴근막; 이식
Keywords: Dorsal augmentation; Rhinoplasty; Fascia lata; Implant