Research progress of autogenous cartilage scaffold carving method in rhinoplasty_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LU Siding ,  YIN Guoqian

Department of Plastic and Aesthetic Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning Guangxi, 530021, P.R.China;

Corresponding?author：

YIN Guoqian, Email: yingq61@163.com

Keywords：

Autogenous cartilage; rhinoplasty; scaffold carving

DOI：

10.7507/1002-1892.202010048

Video：

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Objective To summarize the research progress of autogenous cartilage scaffold carving method in rhinoplasty.Methods The relevant literature about the autogenous cartilage scaffold carving methods in rhinoplasty in resent years at home and abroad was reviewed, and the carving skills, shape, and application scope of different parts of nasal scaffolds were summarized and analyzed.Results Willow-leaf shape is still the main method of cartilage scaffold in the back of the nose. However, in nasal reconstruction, it can be carved into an L-shaped scaffold with the nasal columella scaffold through mortise and tenon structure. And it can also crush the autologous cartilage and wrap it with the autologous fascia tissue to form a new nasal dorsal scaffold. The nasal tip scaffold is improved by changing the shape of traditional nasal tip cartilage cap and wrapping with fascia tissue; the nasal alar scaffold has M-shape, q-shape, carving methods; the nasal columella and nasal septum are mostly used “2+2” combined fixed scaffold. The cartilage scaffolds of lateral nose and nasal base are mainly carved in the shape of “八” and crescent.Conclusion As a rhinoplasty scaffold, there are various carving methods for autogenous cartilage. With the innovation of surgical technique and the improvement of sculpting technique, the effect of autologous cartilage graft in rhinoplasty is getting better and better; meanwhile, tissue engineered cartilage is being applied in rhinoplasty.

Citation： LU Siding, YIN Guoqian. Research progress of autogenous cartilage scaffold carving method in rhinoplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2021, 35(4): 514-518. doi: 10.7507/1002-1892.202010048 Copy

1.	伍錦華, 艾玉峰. 隆鼻材料的特性及應用現狀. 中國實用美容整形外科雜志, 2006, 17(2): 124-126.
2.	鄒盛, 王先成, 孟憲熙. 自體軟骨在鼻整形中應用及其并發癥預防的研究進展. 中華整形外科雜志, 2018, 34(11): 973-977.
3.	李風浩. 自體肋軟骨鼻尖榫卯結構整體支架在鼻整形中的效果. 醫學美學美容, 2020, 29(13): 39.
4.	Balaji SM. Costal cartilage nasal augmentation rhinoplasty: Study on warping. Ann Maxillofac Surg, 2013, 3(1): 20-24.
5.	徐奕昊, 范飛, 尤建軍, 等. 精細構建鼻再造術中軟骨支架的效果. 中華醫學美學美容雜志, 2020, 26(2): 123-126.
6.	Lee MJ, Song HM. Asian rhinoplasty with rib cartilage. Seminars in Plastic Surgery, 2015, 29(4): 262-268.
7.	劉安堂, 錢玉鑫, 胡皓, 等. 自體肋軟骨鼻尖成形術 86 例報告. 中華醫學美學美容雜志, 2019, 25(4): 280-283.
8.	鄭若冰, 范飛, 徐奕昊. 大型帽狀移植物在自體肋軟骨鼻整形術中的應用. 中國美容整形外科雜志, 2020, 31(1): 5-8.
9.	鄭若冰, 范飛, 尤建軍, 等. 榫卯結構在鼻缺損及畸形修復手術支架構建中的應用. 中華整形外科雜志, 2020, 36(6): 600-605.
10.	Leach L, Shamil E, Malata CM. Indications and long-term outcomes of open augmentation rhinoplasty with autogenous l-shaped costal cartilage strut grafts-A single plastic surgeon’s experience. Otolaryngol Pol, 2018, 72(3): 26-32.
11.	V?lklein C, Riechelmann H. Diced cartilage bei nasenkorrekturen. Laryngo-Rhino-Otol, 2019, 98(7): 506-519.
12.	Yoo SH, Jang YJ. Rib cartilage in Asian rhinoplasty: new trends. Curr Opin Otolaryngol Head Neck Surg, 2019, 27(4): 261-266.
13.	Nuara MJ, Loch RB, Saxon SA. Reconstructive rhinoplasty using multiplanar carved costal cartilage. JAMA Facial Plast Surg, 2016, 18(3): 207-211.
14.	Lee M, Callahan S, Cochran CS. Auricular cartilage: harvest technique and versatility in rhinoplasty. Am J Otolaryngol, 2011, 32(6): 547-552.
15.	陸曉娜, 王歡, 尤建軍, 等. 鼻再造術中肋軟骨支架結構的構建. 中華整形外科雜志, 2017, 33(z1): 72-76.
16.	王潤芝, 羅海, 單磊. 捆綁技術在鼻尖支架加固中的臨床應用. 中國美容醫學, 2017, 26(3): 1-3.
17.	祝愿, 文輝才, 黃進軍, 等. 自體肋軟骨改良 L 形 Strut 法短鼻延長整形術. 廣東醫學, 2019, 40(2): 276-279.
18.	孔曉, 牛永敢. 自體肋軟骨作為部分鼻翼軟骨重建移植物改善東方人鼻尖形態的臨床觀察. 中華整形外科雜志, 2017, 33(6): 417-422.
19.	曾婉婷, 楊俊慧, 陳佳, 等. 自體軟骨在外傷性歪鼻合并鼻通氣障礙患者鼻整形術中的應用探討. 中華耳鼻咽喉頭頸外科雜志, 2020, 55(3): 217-222.
20.	孔曉, 牛永敢. 應用自體肋軟骨治療短鼻畸形的臨床效果. 中華醫學美學美容雜志, 2016, 22(4): 202-205.
21.	呂天琪, 于穎, 肖志波. 自體軟骨在鼻整形中的應用及研究進展. 中國美容整形外科雜志, 2020, 31(1): 27-29.
22.	Zeng F, Meng X, Xiong X, et al. Closed Rhinoplasty with a mushroom-shaped costal cartilage graft in east asian patients. Aesthetic Plast Surg, 2020, 44(2): 519-526.
23.	趙延峰, 郝俊, 郭東超, 等. 鼻成形中肋軟骨蝶形鼻小柱支撐移植物的效果. 中華醫學美學美容雜志, 2019, 25(6): 471-473.
24.	王榮錫. 自體肋軟骨構建鼻尖三角形榫卯結構支架在鼻整形中的技術研究. 中國醫療美容, 2019, 9(11): 19-22.
25.	張錦松, 戴傳昌. 自體肋軟骨聯合膨體行隆鼻修復術后鼻小柱皮膚壞死一例. 中國美容整形外科雜志, 2019, 30(9): 576-578.
26.	李江, 王克華, 趙東紅, 等. 微小切口斷層肋軟骨切取與雕刻技術. 中國美容醫學, 2014, 23(16): 1315-1318.
27.	魏廣運, 孟慶鵬, 吳勇. 鼻綜合整形術中自體肋軟骨支架的應用探究. 中國醫療美容, 2019, 9(1): 7-10.
28.	楊開波, 牛勇敢, 張欣剛, 等. 鼻綜合整形術中單側自體耳軟骨支架的臨床應用. 中國醫療美容, 2020, 10(5): 20-25.
29.	楊海波, 牛永敢. 單側耳軟骨仿生支架在短鼻延長中的應用. 中國美容整形外科雜志, 2018, 29(9): 554-555, 563.
30.	張治平, 黃雁翔, 黃偉. “q” 形自體肋軟骨聯合鼻唇肌肉三維定向立體重建修復唇裂繼發鼻畸形. 中國美容醫學, 2017, 26(1): 62-64.
31.	安陽, 李東, 楊欣, 等. M 形軟骨支架用于鼻尖成形術的臨床效果. 中華醫學美學美容雜志, 2016, 22(4): 196-198.
32.	Wang L, Niu Y, Zhang H, et al. Reinforcement of lower lateral cartilage using sliced costal periphery to reconfigure nasal tip in Asian rhinoplasty. J Craniofac Surg, 2018, 29(5): 1212-1215.
33.	何林, 劉翔宇, 余學元, 等. 新型“傘狀”自體肋軟骨移植物矯正唇裂繼發鼻畸形的臨床效果. 中華醫學美學美容雜志, 2018, 24(3): 162-165.
34.	袁菊, 王望舒, 楊田野, 等. 帶軟骨膜的薄層肋軟骨作大翼軟骨外側腳支撐移植物在唇裂繼發鼻畸形中的應用. 中國修復重建外科雜志, 2018, 32(5): 601-606.
35.	Spataro E, Branham GH. Principles of nasal reconstruction. Facial Plast Surg, 2017, 33(1): 9-16.
36.	Goldman GD. Reconstruction of the nasal infratip, columella, and soft triangle. Dermatol Surg, 2014, 40(Suppl 9): S53-61.
37.	李江, 郭小平, 王克華, 等. 自體肋軟骨充填矯治唇裂術后繼發鼻畸形. 中華整形外科雜志, 2013, 29(3): 167-169.
38.	王常勇. 采用組織工程技術建造生物性人工軟骨. 北京: 中國人民解放軍軍事醫學科學院, 2000.
39.	劉政呈, 郭翔, 趙珩. 三維支架與肋軟骨細胞體外及體內培養構建組織工程化氣管. 中華胸心血管外科雜志, 2011, 27(7): 432-436.
40.	Chiu LL, To WT, Lee JM, et al. Scaffold-free cartilage tissue engineering with a small population of human nasoseptal chondrocytes. Laryngoscope, 2017, 127(3): E91-E99.
41.	do Amaral RJ, Pedrosa Cda S, Kochem MC, et al. Isolation of human nasoseptal chondrogenic cells: a promise for cartilage engineering. Stem Cell Res, 2012, 8(2): 292-299.
42.	Fulco I, Miot S, Haug MD, et al. Engineered autologous cartilage tissue for nasal reconstruction after tumour resection: an observational first-in-human trial. Lancet, 2014, 384(9940): 337-346.
43.	Gentile P, Scioli MG, Bielli A, et al. Reconstruction of alar nasal cartilage defects using a tissue engineering technique based on a combined use of autologous chondrocyte micrografts and platelet-rich plasma: Preliminary clinical and instrumental evaluation. Plastic Reconstr Surg, 2016, 4(10): e1027.
44.	Yanaga H, Yanaga K, Imai K, et al. Clinical application of cultured autologous human auricular chondrocytes with autologous serum for craniofacial or nasal augmentation and repair. Plast Reconstr Surg, 2006, 117(6): 2019-2030.
45.	Yi HG, Choi YJ, Jung JW, et al. Three-dimensional printing of a patient-specific engineered nasalcartilage for augmentative rhinoplasty. J Tissue Eng, 2019, 10(3): 204173141882479.

1. 伍錦華, 艾玉峰. 隆鼻材料的特性及應用現狀. 中國實用美容整形外科雜志, 2006, 17(2): 124-126.
2. 鄒盛, 王先成, 孟憲熙. 自體軟骨在鼻整形中應用及其并發癥預防的研究進展. 中華整形外科雜志, 2018, 34(11): 973-977.
3. 李風浩. 自體肋軟骨鼻尖榫卯結構整體支架在鼻整形中的效果. 醫學美學美容, 2020, 29(13): 39.
4. Balaji SM. Costal cartilage nasal augmentation rhinoplasty: Study on warping. Ann Maxillofac Surg, 2013, 3(1): 20-24.
5. 徐奕昊, 范飛, 尤建軍, 等. 精細構建鼻再造術中軟骨支架的效果. 中華醫學美學美容雜志, 2020, 26(2): 123-126.
6. Lee MJ, Song HM. Asian rhinoplasty with rib cartilage. Seminars in Plastic Surgery, 2015, 29(4): 262-268.
7. 劉安堂, 錢玉鑫, 胡皓, 等. 自體肋軟骨鼻尖成形術 86 例報告. 中華醫學美學美容雜志, 2019, 25(4): 280-283.
8. 鄭若冰, 范飛, 徐奕昊. 大型帽狀移植物在自體肋軟骨鼻整形術中的應用. 中國美容整形外科雜志, 2020, 31(1): 5-8.
9. 鄭若冰, 范飛, 尤建軍, 等. 榫卯結構在鼻缺損及畸形修復手術支架構建中的應用. 中華整形外科雜志, 2020, 36(6): 600-605.
10. Leach L, Shamil E, Malata CM. Indications and long-term outcomes of open augmentation rhinoplasty with autogenous l-shaped costal cartilage strut grafts-A single plastic surgeon’s experience. Otolaryngol Pol, 2018, 72(3): 26-32.
11. V?lklein C, Riechelmann H. Diced cartilage bei nasenkorrekturen. Laryngo-Rhino-Otol, 2019, 98(7): 506-519.
12. Yoo SH, Jang YJ. Rib cartilage in Asian rhinoplasty: new trends. Curr Opin Otolaryngol Head Neck Surg, 2019, 27(4): 261-266.
13. Nuara MJ, Loch RB, Saxon SA. Reconstructive rhinoplasty using multiplanar carved costal cartilage. JAMA Facial Plast Surg, 2016, 18(3): 207-211.
14. Lee M, Callahan S, Cochran CS. Auricular cartilage: harvest technique and versatility in rhinoplasty. Am J Otolaryngol, 2011, 32(6): 547-552.
15. 陸曉娜, 王歡, 尤建軍, 等. 鼻再造術中肋軟骨支架結構的構建. 中華整形外科雜志, 2017, 33(z1): 72-76.
16. 王潤芝, 羅海, 單磊. 捆綁技術在鼻尖支架加固中的臨床應用. 中國美容醫學, 2017, 26(3): 1-3.
17. 祝愿, 文輝才, 黃進軍, 等. 自體肋軟骨改良 L 形 Strut 法短鼻延長整形術. 廣東醫學, 2019, 40(2): 276-279.
18. 孔曉, 牛永敢. 自體肋軟骨作為部分鼻翼軟骨重建移植物改善東方人鼻尖形態的臨床觀察. 中華整形外科雜志, 2017, 33(6): 417-422.
19. 曾婉婷, 楊俊慧, 陳佳, 等. 自體軟骨在外傷性歪鼻合并鼻通氣障礙患者鼻整形術中的應用探討. 中華耳鼻咽喉頭頸外科雜志, 2020, 55(3): 217-222.
20. 孔曉, 牛永敢. 應用自體肋軟骨治療短鼻畸形的臨床效果. 中華醫學美學美容雜志, 2016, 22(4): 202-205.
21. 呂天琪, 于穎, 肖志波. 自體軟骨在鼻整形中的應用及研究進展. 中國美容整形外科雜志, 2020, 31(1): 27-29.
22. Zeng F, Meng X, Xiong X, et al. Closed Rhinoplasty with a mushroom-shaped costal cartilage graft in east asian patients. Aesthetic Plast Surg, 2020, 44(2): 519-526.
23. 趙延峰, 郝俊, 郭東超, 等. 鼻成形中肋軟骨蝶形鼻小柱支撐移植物的效果. 中華醫學美學美容雜志, 2019, 25(6): 471-473.
24. 王榮錫. 自體肋軟骨構建鼻尖三角形榫卯結構支架在鼻整形中的技術研究. 中國醫療美容, 2019, 9(11): 19-22.
25. 張錦松, 戴傳昌. 自體肋軟骨聯合膨體行隆鼻修復術后鼻小柱皮膚壞死一例. 中國美容整形外科雜志, 2019, 30(9): 576-578.
26. 李江, 王克華, 趙東紅, 等. 微小切口斷層肋軟骨切取與雕刻技術. 中國美容醫學, 2014, 23(16): 1315-1318.
27. 魏廣運, 孟慶鵬, 吳勇. 鼻綜合整形術中自體肋軟骨支架的應用探究. 中國醫療美容, 2019, 9(1): 7-10.
28. 楊開波, 牛勇敢, 張欣剛, 等. 鼻綜合整形術中單側自體耳軟骨支架的臨床應用. 中國醫療美容, 2020, 10(5): 20-25.
29. 楊海波, 牛永敢. 單側耳軟骨仿生支架在短鼻延長中的應用. 中國美容整形外科雜志, 2018, 29(9): 554-555, 563.
30. 張治平, 黃雁翔, 黃偉. “q” 形自體肋軟骨聯合鼻唇肌肉三維定向立體重建修復唇裂繼發鼻畸形. 中國美容醫學, 2017, 26(1): 62-64.
31. 安陽, 李東, 楊欣, 等. M 形軟骨支架用于鼻尖成形術的臨床效果. 中華醫學美學美容雜志, 2016, 22(4): 196-198.
32. Wang L, Niu Y, Zhang H, et al. Reinforcement of lower lateral cartilage using sliced costal periphery to reconfigure nasal tip in Asian rhinoplasty. J Craniofac Surg, 2018, 29(5): 1212-1215.
33. 何林, 劉翔宇, 余學元, 等. 新型“傘狀”自體肋軟骨移植物矯正唇裂繼發鼻畸形的臨床效果. 中華醫學美學美容雜志, 2018, 24(3): 162-165.
34. 袁菊, 王望舒, 楊田野, 等. 帶軟骨膜的薄層肋軟骨作大翼軟骨外側腳支撐移植物在唇裂繼發鼻畸形中的應用. 中國修復重建外科雜志, 2018, 32(5): 601-606.
35. Spataro E, Branham GH. Principles of nasal reconstruction. Facial Plast Surg, 2017, 33(1): 9-16.
36. Goldman GD. Reconstruction of the nasal infratip, columella, and soft triangle. Dermatol Surg, 2014, 40(Suppl 9): S53-61.
37. 李江, 郭小平, 王克華, 等. 自體肋軟骨充填矯治唇裂術后繼發鼻畸形. 中華整形外科雜志, 2013, 29(3): 167-169.
38. 王常勇. 采用組織工程技術建造生物性人工軟骨. 北京: 中國人民解放軍軍事醫學科學院, 2000.
39. 劉政呈, 郭翔, 趙珩. 三維支架與肋軟骨細胞體外及體內培養構建組織工程化氣管. 中華胸心血管外科雜志, 2011, 27(7): 432-436.
40. Chiu LL, To WT, Lee JM, et al. Scaffold-free cartilage tissue engineering with a small population of human nasoseptal chondrocytes. Laryngoscope, 2017, 127(3): E91-E99.
41. do Amaral RJ, Pedrosa Cda S, Kochem MC, et al. Isolation of human nasoseptal chondrogenic cells: a promise for cartilage engineering. Stem Cell Res, 2012, 8(2): 292-299.
42. Fulco I, Miot S, Haug MD, et al. Engineered autologous cartilage tissue for nasal reconstruction after tumour resection: an observational first-in-human trial. Lancet, 2014, 384(9940): 337-346.
43. Gentile P, Scioli MG, Bielli A, et al. Reconstruction of alar nasal cartilage defects using a tissue engineering technique based on a combined use of autologous chondrocyte micrografts and platelet-rich plasma: Preliminary clinical and instrumental evaluation. Plastic Reconstr Surg, 2016, 4(10): e1027.
44. Yanaga H, Yanaga K, Imai K, et al. Clinical application of cultured autologous human auricular chondrocytes with autologous serum for craniofacial or nasal augmentation and repair. Plast Reconstr Surg, 2006, 117(6): 2019-2030.
45. Yi HG, Choi YJ, Jung JW, et al. Three-dimensional printing of a patient-specific engineered nasalcartilage for augmentative rhinoplasty. J Tissue Eng, 2019, 10(3): 204173141882479.

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