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코성형술시 사용된 삽입물의 생태학적 변화 2001 (대한이비인후과지)

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작성일.2011-02-27 17:01:56

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인하대학교 의과대학 이비인후-두경부외과학교실 1 해부병리학교실 2
정동학 1·박선기 1·이철우 1·김용재 1·이명택 1·장태영 1·민수기 2

Biologic Changes of Implants and Grafts in Rhinoplasty

Dong-Hak Jung MD 1 Sun-Ki Park MD 1 Cheol-Woo Lee MD 1 Yong-Jai Kim MD 1
Myung-Taek Lee MD 1 Tae-Young Jang MD 1 and Soo-Gee Min MD 2
1Department of Otorhinolaryngology-Head and Neck Surgery and 2Anatomical Pathology Inha University College of Medicine Sungnam Korea

ABSTRACT

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Background and Objectives:A lot of materials have been used for rhinoplasty. However the fate of these materials after rhinoplasty is not all clear. This study was performed to find post-operative gross and microscopic changes of the implants and grafts (cartilage Gore-Tex(r) and Alloderm(r)) and to guide selection of implants and graft.Materials and Methods:We took the implants and grafts out from nine patients who underwent revision rhinoplasty for cosmetic problems and studied gross and microscopic charaterizations.Results:Autologous cartilages showed minor volume reduction and remodeling in gross examination and mild degeneration peripheral fibrosis and fibroblast in-growth without inflammation under microscopic examination. Gore-Tex(r) which was a little difficulty to remove had good volume preservation with focal ing-rowth of fibroblasts and inflammatory cells. A gross examination of Alloderm(r) showed preserved volume but thin soft and weak appearance. A microscopic examination of Alloderm(r) showed well preserved collagen materials without inflammation.Conclusions:Cartilages have good biocompatibility and stabilization but it is necessary to study absorption and remodeling. We found that Gore-Tex(r) is a good volume filler for dorsal augmentation whereas Alloderm(r) is a good material for camouflage. (Korean J Otolaryngol 2001;44:163-7)

KEY WORDS:Rhinoplasty·Implants and grafts·Cartilage·Gore-Tex(r)·Alloderm(r).

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