한국인의 비배 융기술에서 동종 대퇴근막의 유용성

Abstract

Background: Although autologous material is ideal, autologous nasal dorsal grafts have limitations including limited tissue availability, donor site morbidity and postoperative deformities owing to warping or resorption. Tutoplast processed fascia lata (TPFL)has been popularly used in Asian dorsal augmentation these days. Our aim was to evaluate the effectiveness and surgical outcomes of TPFL as graft material for nasal dorsal augmentation in Koreans. Methods: 91 patients(68 male, 23 female), who underwent TPFL grafting to the nasal dorsum were included. The age distribution varied from 16 to 61 years (mean age of 29.9 years), All surgical procedures were performed by the single surgeon. Patient’s record was reviewed retrospectively including age, sex, indications for surgery, dorsal graft material, and postoperative complications. Surgical outcome was evaluated using the comparison of preoperative photograph with postoperative photograph. The follow-up period ranged from 6 months to 39 months, with a mean follow-up of 11.3 months. Results: TPFL was used in 65 cases of deviated nose. Other cases included 14 flat noses, 8 hump noses, 3 revision cases after dorsal silicone graft and one saddle nose. During the follow-up period, no major complications such as infection, graft displacement, or extrusion were observed in fascia lata group. The only complication was major resorption in two cases (2.2%) who needed revision surgery. Conclusions: The TPFL alone or TPFL in combination with other materials may be useful for a minor dorsal augmentation and dorsal contouring material in rhinoplasty. (J Clinical Otolaryngol 2015;26:219–224)