A functional and aesthetic solution for saddle nose deformity: the use of the inferior turbinate bone

Yıl 2003, Cilt: 10 Sayı: 5, 203 - 207, 18.10.2003

Orhan Özturan Tamer Erdem Murat Cem Miman Rezzan Erguvan

Öz

The use of a new autologous material, the inferior turbinate bone, for nasal augmentation is presented together with surgical treatment of a 24-year-old male patient with moderately severe saddle nose deformity.İn the postoperative period, no complications were observed. Photographs and three-dimensional computed tomography views obtained 13 months after the operation showed that the reconstruction area was highly free of postoperative resorption. The patient’s complaints disappeared, and he was satisfied with functional and cosmetic results. Moreover, a histologic evaluation which was made to assess the depth of the glandular component showed that the inferior turbinate bone could be used över the nasal dorsum in a smoother shape, retaining its overlying soft tissue.

Anahtar Kelimeler

Bone transplantation, nose/surgery, nose deformities, acquired/surgery, rhinoplasty/methods, skin trans­ plantation

Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm

Öz

Bu yazıda, hafif ve orta derecede bozukluk gösteren semer burunların tamirinde baflvurulabilecek yeni bir materyal olarak alt konka kemiğinin kullanımı, orta de- recede deformitesi olan 24 yaflındaki erkek hastanın tedavisiyle birlikte sunuldu. Ameliyat sonrası izleminde hastada komplilkasyon geliflmedi. Ameliyattan 13 ay sonra alınan fotoğraf ve üç-boyutlu bilgisayarlı tomog- rafi görüntülerinde, rekonstrüksiyon alanının rezorbe olmadığı görüldü. Ameliyat öncesindeki flikayetleri ta- mamen geçen hasta, fonksiyonel ve kozmetik sonuç- lardan memnun olduğunu belirtti. Ayrıca, alt konka ke- miğinin yumuflak dokusunda bulunan glandüler yapıla- rın derinliğini ortaya koymak amacıyla yapılan histolojik çalıflmada, kemiğin kısmen soyularak daha düzgün fle- killi olarak burun sırtında kullanılabileceği görüldü

Anahtar Kelimeler

Kemik transplantasyonu, burun/cerrahi, burun deformiteleri, edinsel/cerrahi, rinoplasti/yöntem, deri transplantasyonu

Kaynakça

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