CLINICAL EFFICACY OF MODIFIED POLYTETRAFLUOROETHYLENE PROSTHESIS RHINOPLASTY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HEXiaojie ,  JIANGNan , SHENLi , YANGZhiyong , HAOYuanyuan , XUYangyang

Department of Plastic Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou Henan, 450000, P. R. China;

Corresponding author：

JIANGNan, Email: jiangnan5616@126.com

Keywords：

Modified rhinoplasty; Low nose; Short columella; Polytetrafluoroethylene prosthesis

DOI：

10.7507/1002-1892.20160188

Video：

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Objective To explore the clinical efficacy of modified polytetrafluoroethylene (PTFE) prosthesis rhinoplasty for correction of low nose and short columella. Methods Between August 2012 and August 2015, modified PTFE prosthesis rhinoplasty was used to correct low nose and short columella in 52 patients. There were 4 males and 48 females, aged 19 to 45 years (mean, 27 years). Primary rhinoplasty was performed in 47 cases; secondary rhinoplasty was performed in 5 cases, and it was 12-18 months from the first operation (mean, 15 months). During operation, a scaly sag ventral side was made by carving and moving cap shaped nose prosthesis was prepared, and nasal dorsumnasal columella prosthesis covered by tension-free flap was designed. At pre-operation and last follow-up, Image ProPlus 6.0 software was used to measure the nose length, nose depth, nose tip width, nostril/nose tip, nasolabial angle, and nasal tip rotation for evaluation of external nose shape correction; and ultrasound was used to measure the alar cartilage angle, alar two vertex distance, and nose tip to vertex distance for evaluation of internal soft tissue changes; the prosthesis position was observed by CT scan at 12 months. Results All incisions healed by first intention, with no complications. All patients were followed up 7-36 months (mean, 20.4 months). At 12 months after operation, CT scans showed that prosthesis located in the middle of the nose and above nasal bone, septal cartilage and crus mediale cartilaginis alaris majoris in 45 patients; no prosthesis displacement was observed. At last follow-up, image measurement and ultrasound results showed external nose shape parameters (except nostril/nose tip) and internal soft tissue structures were significantly improved when compared with preoperative values (P < 0.05). Conclusion Modified PTFE prosthesis rhinoplasty can effectively correct low nose and short columella, with small surgical trauma and good appearance.

Citation： HEXiaojie, JIANGNan, SHENLi, YANGZhiyong, HAOYuanyuan, XUYangyang. CLINICAL EFFICACY OF MODIFIED POLYTETRAFLUOROETHYLENE PROSTHESIS RHINOPLASTY. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(8): 930-934. doi: 10.7507/1002-1892.20160188 Copy

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3.	Jang YJ, Alfanta EM. Rhinoplasty in the Asian nose. Facial Plast Surg Clin North Am, 2014, 22(3):357-377.
4.	黄和平, 王斌, 黄玲琳, 等.膨体聚四氟乙烯联合硅胶假体在隆鼻术中的应用.中国美容医学, 2013, 22(19):1921-1922.
5.	Dhong ES, Kim YJ, Suh MK. L-shaped columellar strut in East asian nasal tip plasty. Arch Plast Surg, 2013, 40(5):616-620.
6.	吴丹雯, 范志宏.鼻尖整形的解剖及美学分析与应用.中华整形外科杂志, 2007, 23(2):168-170.
7.	Honda Y, Tanizaki H, Otsuka A, et al. Calcinosis cutis long after rhinoplasty with silicone. Case Rep Dermatol, 2014, 6(3):288-290.
8.	Kim JS, Khan NA, Song HM, et al. Intraoperative measurements of harvestable septal cartilage in rhinoplasty. Ann Plast Surg, 2010, 65(6):519-523.
9.	Varadharajan K, Sethukumar P, Anwar M, et al. Complications associated with the use of autologous costal cartilage in rhinoplasty: A systematic review. Aesthet Surg J, 2015, 35(6):644-652.
10.	Jang YJ, Min J, Lau BC. A multilayer cartilaginous tip-grafting technique for improved nasal tip refinement in Asian rhinoplasty. Otolaryngology Head Neck Surg, 2011, 145(2):217-222.
11.	李乐凡, 李思东, 汪志芬.膨体聚四氟乙烯在医学上的应用与研究.化学工程师, 2011, 25(12):46-48.
12.	Daniel RK. The nasal tip:anatomy and aesthetics. Plast Reconstr Surg, 1992, 89(2):216-224.
13.	Tasman A, Helbig M. Sonography of nasal tip anatomy and surgical tip refinement. Plast Reconstr Surg, 2000, 105(7):2573-2582.
14.	Sim RS, Smith JD, Chan AS. Comparison of the aesthetic facial proportions of southern Chinese and white women. Arch Facial Plast Surg, 2000, 2(2):113-120.
15.	Daniel RK. Mastering rhinoplasty:a comprehensive atlas of surgical techniques with integrated video clips. Berlin:Springer Science & Business Media, 2010:20-23.
16.	Rohrich RJ, Ahmad J. Rhinoplasty. Plast Reconstr Surg, 2011, 128(2): 49e-73e.

1. Jayaratne YS, Deutsch CK, Zwahlen RA. Nasal morphology of the Chinese:three-dimensional reference values for rhinoplasty. Otolaryngol Head Neck Surg, 2014, 150(6):956-961.
2. Park SW, Kim JH, Choi CY, et al. Various applications of deep temporal fascia in rhinoplasty. Yonsei Med J, 2015, 56(1):167-174.
3. Jang YJ, Alfanta EM. Rhinoplasty in the Asian nose. Facial Plast Surg Clin North Am, 2014, 22(3):357-377.
4. 黄和平, 王斌, 黄玲琳, 等.膨体聚四氟乙烯联合硅胶假体在隆鼻术中的应用.中国美容医学, 2013, 22(19):1921-1922.
5. Dhong ES, Kim YJ, Suh MK. L-shaped columellar strut in East asian nasal tip plasty. Arch Plast Surg, 2013, 40(5):616-620.
6. 吴丹雯, 范志宏.鼻尖整形的解剖及美学分析与应用.中华整形外科杂志, 2007, 23(2):168-170.
7. Honda Y, Tanizaki H, Otsuka A, et al. Calcinosis cutis long after rhinoplasty with silicone. Case Rep Dermatol, 2014, 6(3):288-290.
8. Kim JS, Khan NA, Song HM, et al. Intraoperative measurements of harvestable septal cartilage in rhinoplasty. Ann Plast Surg, 2010, 65(6):519-523.
9. Varadharajan K, Sethukumar P, Anwar M, et al. Complications associated with the use of autologous costal cartilage in rhinoplasty: A systematic review. Aesthet Surg J, 2015, 35(6):644-652.
10. Jang YJ, Min J, Lau BC. A multilayer cartilaginous tip-grafting technique for improved nasal tip refinement in Asian rhinoplasty. Otolaryngology Head Neck Surg, 2011, 145(2):217-222.
11. 李乐凡, 李思东, 汪志芬.膨体聚四氟乙烯在医学上的应用与研究.化学工程师, 2011, 25(12):46-48.
12. Daniel RK. The nasal tip:anatomy and aesthetics. Plast Reconstr Surg, 1992, 89(2):216-224.
13. Tasman A, Helbig M. Sonography of nasal tip anatomy and surgical tip refinement. Plast Reconstr Surg, 2000, 105(7):2573-2582.
14. Sim RS, Smith JD, Chan AS. Comparison of the aesthetic facial proportions of southern Chinese and white women. Arch Facial Plast Surg, 2000, 2(2):113-120.
15. Daniel RK. Mastering rhinoplasty:a comprehensive atlas of surgical techniques with integrated video clips. Berlin:Springer Science & Business Media, 2010:20-23.
16. Rohrich RJ, Ahmad J. Rhinoplasty. Plast Reconstr Surg, 2011, 128(2): 49e-73e.

Chinese Journal of Reparative and Reconstructive Surgery

CLINICAL EFFICACY OF MODIFIED POLYTETRAFLUOROETHYLENE PROSTHESIS RHINOPLASTY

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