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1、ORIGINALARTICLEONLINEFIRSTOsseocartilaginousRibGraftRhinoplastyAStable,PredictableTechniqueforMajorDorsalReconstructionJ.JaredChristophel,MD;PeterA.Hilger,MDObjective:Toassessthelong-termstabilityofosseo-graftswarped.Twenty-nineof33patientsreceivingos-cartilaginousdorsalonlayribgraftsusedf
2、oraugmenta-seocartilaginousonlaygrafts(88%)and5of6patientstionrhinoplasty.receivingcartilaginousonlaygrafts(83%)hadpersist-ingreliefoftheirnasalobstruction.Twelveofthe39pa-Methods:Patientswhohadribgraftsusedforaugmen-tients(30%)hadrevisionsurgery,mostlyperformedfortationrhinoplastyfrom2000
3、through2009wereas-minorcosmeticrevision.sessedforgraftviability,graftmobility,graftwarping,maintenanceofdorsalprojection,functionalairwaysta-Conclusions:Osseocartilaginousonlayribgraftspro-tus,needforrevisionsurgery,anddonorsitemorbidity.videanidealscaffoldfordorsalnasalaugmentationandAret
4、rospectivecohortstudyusingtelephonefollow-uprestorationofnasalairwayinpatientswithcollapseofwasconducted.thenasalframeworkduetoasaddledeformity,historyoftrauma,orhistoryofmultipleseptorhinoplasties.TheResults:Atotalof58ribgraftrhinoplastieswereper-grafthasexcellentviability,lackspotentialf
5、orlong-formedinthe10-yearreviewperiod,39ofwhichusedtermwarping,achievesbonyfusiontothenasalbones,dorsalonlaygrafts.Themeandurationofclinicalfol-andallowssurgicalmoldingofthecartilaginoustip.low-upwas24months,andthemediandurationofclini-calfollow-upwas16months.Thirty-threeof33osseo-cartilag
6、inousonlaygrafts(100%)and5of6cartilaginousArchFacialPlastSurg.2011;13(2):78-83.onlaygrafts(83%)wereviable,rigid,andhadmain-PublishedonlineNovember15,2010.taineddorsalprojectionatlastfollow-up.Noneofthedoi:10.1001/archfacial.2010.95DEQUATESTRUCTURALAUG-centriccarving,settingasideinsaline,an
7、dmentationofthenasaldor-internalK-wirefixation.1,4Cartilagealsohassumoftenrequirestheuseahighertendencyforresorption,al-Aofaribgraft.Whenper-thoughthisriskislowwhenusedinrhi-formedforrevisionofthenoplastycomparedwithotherareasoffa-overresectednose,correctionof
