Application of Platelet-Rich Plasma in Nasal Tip Reconstruction with Medpor Prosthesis

Bin Xu
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Abstract

Objective: To observe the effect of platelet-rich plasma (PRP) on reducing ear cartilage absorption and nasal tip complications after nasal tip plasty with medpor prosthesis. Methods: During the conventional medpor rhinoplasty, PRP was injected locally around the tip and columella of the nose with medpor material. The morphology of the nasal tip cartilage and the shape of the nasal tip were observed at least 1 year after the surgery, and the status of cartilage absorption was judged. The statistical differences between the control group and the experimental group were analyzed by χ²-test. Results: After observation for 1 year, a total of 71 cases underwent conventional medpor rhinoplasty, of which 21 cases had cartilage resorption, and 10 cases had a prominent shape of the nasal tip prosthesis that required repair; In the platelet-rich plasma treatment group, there were 18 cases, 1 case of cartilage absorption, and 0 case requiring repair. There are significant statistical differences in clinical practice. Conclusion: PRP can significantly reduce the absorption of ear cartilage, maintain the appearance of the nasal tip, and improve the satisfaction of patients with medpor prosthesis rhinoplasty.
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富血小板血浆在Medpor假体鼻尖重建中的应用
目的:观察富血小板血浆(PRP)对鼻尖置换术后耳软骨吸收及鼻尖并发症的影响。方法:在常规梅氏鼻成形术中,用梅氏材料在鼻尖和鼻小柱周围局部注射PRP。术后至少1年观察鼻尖软骨形态及鼻尖形态,判断软骨吸收状况。对照组与实验组的统计学差异采用χ 2检验。结果:经1年观察,共71例行常规中鼻部整形术,其中21例出现软骨吸收,10例鼻尖假体形状突出需要修复;富血小板血浆治疗组18例,软骨吸收1例,需修复0例。在临床实践中有显著的统计学差异。结论:PRP能明显减少耳软骨的吸收,保持鼻尖的外观,提高患者对鼻部假鼻成形术的满意度。
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