Homologous Tissue for Dorsal Augmentation - 31/07/18

Doi : 10.1016/j.fsc.2018.03.005

Chang-Hoon Kim, MD, PhD ^a,^b,^⁎ , Sang Chul Park, MD ^a
^a Department of Otorhinolaryngology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea
^b The Airway Mucus Institute, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea

^∗Corresponding author. Department of Otorhinolaryngology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.Department of OtorhinolaryngologyYonsei University College of Medicine50 Yonsei-roSeodaemun-guSeoul120-752Korea

Résumé

Homologous graft materials for dorsal augmentation are safe and biocompatible with a low risk of complications. Acellular dermal matrix (ADM) provides natural appearance of the nose and long-term structural integrity without extrusion, showing favorable augmentation results. Tutoplast-processed fascia lata (TPFL) is soft and easy to manipulate, providing a smooth postoperative contour of the nasal dorsum with low risk of infection or extrusion. ADM and TPFL carry low risk of major complications, such as infection, foreign body reaction, and graft extrusion. ADM and TPFL are suitable graft materials that deliver proper dorsal augmentation and patient satisfaction in primary and revision rhinoplasty.

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Keywords : Asian rhinoplasty, Dorsal augmentation, Homologous grafts, Acellular dermal matrix, Tutoplast-processed fascia lata