비중격 외비성형술에서 이식 재료로써 Polylactic-Co-Glycolic Acid Plate의 유용성

강재윤; 김민수; 임세연; 박수경; 나기상; 김용민

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자료유형: 학술저널

저자정보: 강재윤 (충남대학교 의과대학 의학연구소 이비인후-두경부외과학교실) 김민수 (충남대학교 의과대학 의학연구소 이비인후-두경부외과학교실) 임세연 (충남대학교 의과대학 의학연구소 이비인후-두경부외과학교실) 박수경 (충남대학교) 나기상 (충남대학교) 김용민 (충남대학교)

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제64권 제9호

발행연도: 2021.9

수록면: 635 - 640 (6page)

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Background and Objectives Polylactic-co-glycolic acid (PLGA) plate has been recognizedfor its biocompatibility and biomechanical properties and used widely in various clinicalfields. The aim of this study was to evaluate the usefulness and reliability of PLGA plate as agraft material in septorhinoplasty. Subjects and Method Medical records were retrospectively analyzed for patients who underwentseptorhinoplasty including extracorporeal septoplasty from January 2017 to June 2020. We evaluated demographics, diagnosis, operation techniques, and complications of PLGA plateas a graft material used in these patients. Results A total of 33 patients were enrolled in this study. Twenty-eight were male and 5 werefemale. The median age was 32 years old. The follow-up period after surgery was 6-32 months,and the mean follow-up period was 18.03 months. The PLGA plate was used in unilateralspreader graft (n=17), bilateral spreader graft (n=10), batten graft (n=3), strengthening of septalextension graft (n=2) and columellar strut graft (n=3), and fixing L-strut during extracorporealseptoplasty (n=12). During the follow-up period, no patient experienced extrusion orexposure of the grafts. Mild complications, such as redness of the columella skin, granulationin the marginal incision site, and pain on the nasal dorsum were observed in three patients;these complications were temporary and patients improved with conservative treatments. Conclusion The PLGA plate may be a useful graft material in correcting deviated nose especiallywhen the harvested septal cartilage is insufficient and if used carefully in limited locationssuch as L-strut and columella.

#Allografts #Nasal septum #Polylactic acid-polyglycolic acid copolymer #Postoperative complications #Rhinoplasty.

참고문헌 (25)

참고문헌 신청

Maguire AJ / 1989 / Open rhinoplasty approach to the deviated nose / Facial Plast Surg 6(2):83~87

Sazgar AA / 2019 / Severe deviated nose treatment : Importance of preserving the dorsal septal remnant / Eur Arch Otorhinolaryngol 276(5):1349~1354

Depeyre A / 2020 / Extracorporeal septorhinoplasty : Technical note / J Stomatol Oral Maxillofac Surg 121(5):579~584

Oliveira PW / 2006 / Deviated nose correction by using the spreader graft in the convex side / Braz J Otorhinolaryngol 72(6):760~763

Pham AM / 2007 / Correction of caudal septal deviation : Use of a caudal septal extension graft / Ear Nose Throat J 86(3):142

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