자가 이갑개 연골과 후이개부 연부조직을 이용한 용비술 = AUGMENTATION RHINOPLASTY USING AUTOGENOUS CONCHAL CARTILAGE AND RETROAURICULAR SOFT TISSUE GRAFT

다국어 초록 (Multilingual Abstract)

Since the nose is the most prominent part in the face, augmentation rhinoplasty tops the aesthetic procedure for oriental. Oriental nose is characterised by flat nose dorsum and bulbous appearance due to thick and tense skin, and flaring of nostrils and restriction of nasal tip projection due to underdevelopment of medial crus of alar cartilage and short columella. However, there are many procedures and materials for augmentation. Ideal material must be satisfied with simple application and lesser tissue reaction. Silicon rubber is the most popular material due to it's simplicity and lesser tissue reaticons, but the prosthesis itself is a foreign material which causes occasionally tissue reaction and some complications such as exposure, deviation, and transparency on dorsum.
Authors have performed augmentation rhinoplasty and tip plasty through two procedures. First, we have used autogenous conchal cartilage graft wrapped with postauricular soft tissue which reduced silicon rubber size. So, we have experienced lesser foreign body reaction and transparency on dorsum. Second, for more tip projection, we have narrowed the angle of divergence of alar cartilage by resection of lateral dormal segment of alar cartilage and suturing both medial crus. We have gained more satisfactory augmentation on dorsum and tip projection and lesser complication of silicon implant.