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Surgical outcomes of primary and revision augmentation rhinoplasty using a processed fascia lata

 Yoo Suk Kim  ;  Do Yang Park  ;  Dong Hyun Shin  ;  Seok Min Yang  ;  Sang Yeob Seong  ;  Joo-Heon Yoon  ;  Chang-Hoon Kim 
 American Journal of Rhinology & Allergy, Vol.29(2) : 141-144, 2015 
Journal Title
 American Journal of Rhinology & Allergy 
Issue Date
Biocompatible Materials/metabolism ; Fascia Lata/metabolism ; Feasibility Studies ; Humans ; Nose/anatomy & histology ; Nose/surgery* ; Patient Satisfaction* ; Polytetrafluoroethylene/metabolism ; Prostheses and Implants/utilization* ; Prosthesis Implantation* ; Reoperation ; Retrospective Studies ; Rhinoplasty* ; Treatment Outcome
BACKGROUND: Dorsal augmentation is the most commonly performed procedure in rhinoplasty for Asian patients. Due to the anatomic features of the Asian nose, the use of nonautologous materials to obtain a proper degree of augmentation is inevitable in most cases. Because the use of nonautologous materials possesses a higher risk of complications, surgeons are concerned about selecting suitable materials for the procedure, especially in revision rhinoplasty. Therefore, this study was designed to evaluate the suitability and usefulness of a homologous material, Tutoplast-processed fascia lata (TPFL), in revision augmentation rhinoplasty. METHODS: Retrospective analysis of 104 rhinoplasty patients (primary, 86; revision, 18) who had undergone dorsal augmentation using TPFL was conducted. The comparison of surgical outcomes between primary and revision surgery was made using objective [dorsal height (DH) and radix height (RH), complication rate] and subjective (patient satisfaction) parameters. RESULTS: The degree of augmentation represented by DH and RH was comparable between primary and revision rhinoplasty using TPFL. In comparing the rate of postoperative complications, only minor incidents were noted, in six cases after primary surgery and in one case after revision surgery. Patient satisfaction was measured in both primary and revision augmentation, with a significant difference observed between the two groups (40.57 ± 9.25 versus 31.48 ± 7.59; p < 0.05). CONCLUSION: TPFL is a feasible implant material that delivers suitable augmentation and patient satisfaction with minimal morbidity in both primary and revision rhinoplasty.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Yoon, Joo Heon(윤주헌)
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