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Long-Term Result of Crushed Cartilage Fibrin Sealant Combination Graft for Radix Augmentation in Rhinoplasty
Dept.of Otorhinolaryngology, Konkuk Univ. Chungju Hosp., Konkuk Univ. School of Medicine
Myeong Sang YU, Dae Jun LIM, Bo-Hyung KIM, Sung-Ho KANG
¸ñÀû: The use of fibrin sealant to stabilize crushed-cartilage grafts can be a reliable, effective technique for radix augmentation in rhinoplasty. However, long-term follow-up has been warranted to further assess the resorption rate of crushed cartilage. This study evaluated the long- term outcome of crushed cartilagefibrin sealant combination graft (CCFG) for radix augmentation in rhinoplasty patients. ¹æ¹ý:This is a observational study of patients who underwent rhinoplasty including radix augmentation using CCFG. 21 patients who could be observed for more than 2 years postoperatively were assessed. This study is focused on noninfective absorption and other complications and postoperative changes of radix after augmentation rhinoplsaty using CCFG. The result of surgery was evaluated by comparing nasal measurements on photographs taken preoperatively and 2-year postoperatively. °á°ú:Radix augmentation, which had increased an average of 20.97.5% after the procedure, was maintained at follow-up 2 years postoperatively. No major complications including infection, rejection, extrusion, or persistent erythema of the nasal skin, were observed postoperatively. There was no displacement of the crushed cartilage grafts. Complications included one case of partial resorption of the grafts and two cases of graft visibility and irregular graft contour. One of these patients underwent revision surgery. °á·Ð:The use of crushed cartilagefibrin sealant combination graft is a reliable, effective technique for radix augmentation in Asian patients.


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