耳后区皮软骨移植重建鼻小柱的新方法。个案报告

Advances in Oral and Maxillofacial Surgery Pub Date : 2023-03-01 DOI:10.1016/j.adoms.2023.100396

Paolo Verona , Rossana Rosas , Nicolas Solano , Patricia López

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引用次数: 0

摘要

小柱是两个鼻孔之间的亚单位，为鼻尖提供支撑和投影，具有功能性和美观性。小柱缺失的病因多种多样，由于其狭窄的水平尺寸、脆弱的血管结构和邻近组织的有限可用性，小柱是最复杂的鼻亚基之一。目的介绍用耳后区软骨肌皮移植重建小柱的一步法。病例报告一名38岁的女性患者出现了由另一位专家转诊的手术并发症，该专家在进行初次鼻整形术后，出现了孤立的小柱缺损。使用耳后区的软骨肌皮移植物在一个阶段重建了缺损，没有观察到并发症。结论该方法在将患者发病率和不适降至最低的情况下，提供了非常满意的美学效果。

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New method for the reconstruction of the nasal columela from chondromiocutaneous grafts of the retroauricular region. Report of a case

Introduction

The columella is the subunit between the two nostrils that provides support and projection to the nasal tip and has a functional role as well as an aesthetic one. The etiology for the absence of columellar is diverse, and it is one of the most complex nasal subunits to reconstruct due to its narrow horizontal dimension, its tenuous vascularity, and the limited availability of adjacent tissue.

Aim

to present the one-step procedure for the reconstruction of the columella with a chondromyocutaneous graft from the retroauricular region.

Case report

A 38-year-old female patient presented with a surgical complication referred by another specialist who, after performing primary rhinoplasty, presented an isolated columella defect. The defect was reconstructed in one phase using a chondro-myocutaneous graft from the retroauricular region, where no complications were observed.