Subscribe to RSS
DOI: 10.5999/aps.2018.00885
Feasibility of a polydioxanone plate as an adjuvant material in rhinoplasty in Asians
This work was supported by the research fund of Chungnam National University and was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT, & Future Planning (NRF-2018R1A2B6007425).
Background Nasal framework-supporting procedures such as septal extension grafts, derotation grafts, and columellar strut grafts are usually required in rhinoplasty in Asian patients because the skin envelope is tight, but the nasal framework is small and weak. Autologous materials are preferred, but they have some limitations related to the amount that can be harvested and the frequency of use. Therefore, synthetic materials have been used to overcome these limitations.
Methods A total of 114 patients who received a polydioxanone (PDS) plate as an adjuvant material in rhinoplasty from September 2016 to August 2017 were retrospectively investigated. The PDS plate was used as to support the weak framework and to correct the contour of the alar cartilages. The PDS plate was used for reinforcement of columellar struts and septal L-struts, alar cartilage push-down grafts, fixation of septal extension grafts, and correction of alar contour deformities
Results Primary and secondary rhinoplasty was performed in 103 and 11 patients, respectively. Clinically, no significant inflammation occurred, but decreased projection of the tip was observed in seven patients and relapse of a short nose was noted in five patients.
Conclusions PDS plates have been used in the United States and Europe for more than 10 years to provide a scaffold for the nasal framework. These plates can provide reinforcement to columellar struts, L-struts, and septal extension grafts. In addition, they can assist in deformity correction. Therefore, PDS plates can be considered a good adjuvant material for Asian patients with weak and small nasal cartilage.
Publication History
Received: 25 July 2018
Accepted: 04 January 2019
Article published online:
03 April 2022
© 2019. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
REFERENCES
- 1 Matory Jr WE, Falces E. Non-Caucasian rhinoplasty: a 16-year experience. Plast Reconstr Surg 1986; 77: 239-52
- 2 Kim DA, Jeong JY, Oh SH. Bulbous tip correction focusing on skin soft tissue envelope in Asian rhinoplasty. Arch Aesthetic Plast Surg 2014; 20: 140-7
- 3 Conderman C, Kinzinger M, Manuel C. et al. Mechanical analysis of cartilage graft reinforced with PDS plate. Laryngoscope 2013; 123: 339-43
- 4 Boenisch M, Mink A. Clinical and histological results of septoplasty with a resorbable implant. Arch Otolaryngol Head Neck Surg 2000; 126: 1373-7
- 5 Boenisch M, Tamas H, Nolst Trenite GJ. Influence of polydioxanone foil on growing septal cartilage after surgery in an animal model: new aspects of cartilage healing and regeneration (preliminary results). Arch Facial Plast Surg 2003; 5: 316-9
- 6 Rimmer J, Ferguson LM, Saleh HA. Versatile applications of the polydioxanone plate in rhinoplasty and septal surgery. Arch Facial Plast Surg 2012; 14: 323-30
- 7 Kim JH, Wong B. Analysis of cartilage-polydioxanone foil composite grafts. Facial Plast Surg 2013; 29: 502-5
- 8 Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. autologous grafts. Plast Reconstr Surg 2010; 125: 40e-49e
- 9 Kim JH, Song JW, Park SW. et al. 10th rib cartilage: another option of the costal cartilage graft for rhinoplasty. Arch Aesthetic Plast Surg 2015; 21: 47-53
- 10 Park JH, Jin HR. Use of autologous costal cartilage in Asian rhinoplasty. Plast Reconstr Surg 2012; 130: 1338-48
- 11 Frodel JL, Lee S. The use of high-density polyethylene implants in facial deformities. Arch Otolaryngol Head Neck Surg 1998; 124: 1219-23
- 12 Han K, Jeong JW, Kim JH. et al. Complete septal extension grafts using porous high-density polyethylene sheets for the westernization of the Asian nose. Plast Reconstr Surg 2012; 130: 106e-115e
- 13 James SE, Kelly MH. Cartilage recycling in rhinoplasty: polydioxanone foil as an absorbable biomechanical scaffold. Plast Reconstr Surg 2008; 122: 254-60
- 14 Boenisch M, Nolst Trenite GJ. Reconstructive septal surgery. Facial Plast Surg 2006; 22: 249-54
- 15 Tweedie DJ, Lo S, Rowe-Jones JM. Reconstruction of the nasal septum using perforated and unperforated polydioxanone foil. Arch Facial Plast Surg 2010; 12: 106-13
- 16 Kim JH, Song JW, Park SW. et al. Tip extension suture: a new tool tailored for Asian rhinoplasty. Plast Reconstr Surg 2014; 134: 907-16