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2016년 12월호 Facial plastic surgery 논문게재

 

장용주교수는 2016년 12월호 Facial Plastic Surgery 에 “ Treatment Strategy for Revision Rhinoplasty in Asians. (아시아인의 코성형술 재수술에서 치료전략)” 이라는 논문을 게재하였다

 

Facial Plast Surg. 2016 Dec;32(6):615-619

Jang YJ, Kim DY.

 

Abstract

Revision rhinoplastyin Asian patients is associated with problems related to the use of grafts or implant materials. Moreover, the septal cartilage of Asian individuals is generally weak and small, which makes it particularly vulnerable to injury or secondary deformity during primary surgery. Hence, there is an increased demand for major reconstruction of the septal cartilage framework during  revisionsurgery in Asian patients. In  revision rhinoplastyof the nose in Asian patients, appropriate management of the graft or implant is vital. The common problems resulting in the need for  revisionsurgery include displacement, malposition, extrusion, recurrent inflammation, and infection of dorsally implanted alloplastic material. A short-nose deformity following silicone  rhinoplastyis also a common problem that is difficult to manage. Furthermore, residual or recurrent deviation of the deviated nose, undercorrection of the convex nasal dorsum, and tip graft-related complications are frequently encountered problems that require  revision . In  revision rhinoplastyfor Asian patients, autologous tissues, such as conchal cartilage and costal cartilage, play a pivotal role for use as a new dorsal implant or building block for major septal reconstruction. Therefore, it is imperative for surgeons to familiarize themselves with the appropriate use of autologous tissues, particularly costal cartilage.

 

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