Autologous tissue
- 1. AUTOLOGOUS TISSUE 襯 伎 DORSAL AUGMENTATION F 危蟆
- 2. Septal cartilage : 豈豬螳 所 覈 襷り鍵螳 ｸ nasal dorsum 譴焔襦 願碓 覿覿 覈 覿襯 camouflage nasal tip surgery Conchal cartilage : 覈 襷り鍵 れ dorsal augmentation 蠍 企れ 譯朱 nasal tip surgery 覿覿 覈 覿襯 camouflage Costal cartilage : 豈豬蠍郁 企糾 warping 煙 覓語 襷 augmentation 蟆曙 伎 alloplastic implant 覿 蟆 螳 朱 autologous cartilage Dermis-fat : れ 覿 豈豬螳 螳ロ螻 襷 豈豬 ′ 豸″蠍 り 襷 augmentation 蠍磯 企給 . 朱螳 蟇磯 貊 蟲豢 煙 蟆曙一 蟆
- 3. 螻伎 郁絵 螻 (endochondral bone) : るΜ リ絵 , 螻 ′ 朱 ( 旧 10-15%, up to 30%) リ絵 : 螻手 朱 襷 譟一 豈豬 襷炎絵 (membranous bone) : 螳螻 , 覃願絵 ′ 螻 , 譟伎 螳螻 伎 覲企 襴 螳螻 : 覦蟾レ 殊螻 , 覿螳 蟶 豈豬 蠏朱伎 : 譯朱 豸°蠏朱 : ′ 蟇一 朱 , 谿 豢 , 讌 : 20% 伎 螻手
- 4. SEPTAL CARTILAGE レ cartilage 襯 豈豬覃伎 septal deviation 螻 螳 蠍磯レ 覃伎 螳 狩 殊 所 蠏狩 豈豬 覈 straight 螻 麹 蟆暑襯 螳讌螻 螳螻牛蠍 螳 暑 . れ 襦 螳ロ螻 strut, spreader graft, tip graft ｸ襴 Vomer, perpendicular palte 蟾讌 蟷 豈豬 ′ 螻 覲 讌 . 襷 augmentation 蟆曙一 覿譟燕 蟆曙郁 襷 . septal deviation 豈豬 nasal dorsum 覲覲 蟆曙一 襷 豈豬螳 企れ 蟆曙郁 襷 .
- 5. SEPTAL CARTILAGE 豈豬 覦覯
- 6. SEPTAL CARTILAGE 豈豬 覦覯
- 7. SEPTAL CARTILAGE 豈豬 覦覯
- 8. SEPTAL CARTILAGE る蠍 螳ロ 讓 覃伎 perichondrium 覿襯 蟆 蟆 ′ 譬蟆 覃 譟 覃伎 perichondrium 伎 郁絵 hinge 襦 伎 蟆 ｸ襴 .
- 9. SEPTAL CARTILAGE 襯 伎 AUGMENTATION augmentation tissue 襦 dorsal augmentation 覦蠍 蟆曙一 襭企 . 豈豺 cartilarge 螳 譬 蟆 nasal dorsum 譬蟆 覲伎願碓 豢 覲伎企 蟆曙郁 襷 譴 蠍壱伎 .
- 11. CEPHALIC RESECTION : 觜旧郁絵 豸′ cephalic rotation 觜旧郁絵螻殊 覿谿 危 5-10mm 蟆
- 13. INTERDOMAL SUTURE 1. Tip symmetry 2. Tip strength 3. Reduction of wide interdomal distance 4. Tip projection (slight)
- 14. TRANSDOMAL SUTURE 1. Narrow domes 2. Reduction of lateral crus convexity
- 15. SEPTAL CARTILAGE れ 伎 Tip graft 襦 Septal extension graft 襦
- 16. SEPTAL EXTENSION GRAFTS 1. Projection and rotation of tip 2. Stable caudal septum 3. Short nose or drooping nose ( れ綾貊 觜豌 螻 蟆 伎 蟆曙 ) 4. Type I, II, III
- 18. CONCAHL CARTILAGE レ Septal cartilage 觜 襷 豈豬螳 螳ロ . 覿譟燕 蟆曙 豸 蠏 豈豬 . 覦螳讌 覈 覈磯螳 lower lateral cartilage nasl tip 伎 ｸ襴蟆 . Composite graft(skin 螻 cartilage 襯 ) 襦 伎 螳 ロ . Septal cartilage 襴 豈豬 手 覿ｸ . 覦螳讌 覈 螻 straight 覈 覿 覿ｸ覃 nasal dorsum 蠍 企給 . Conchal cartilage 豈豬 覿 覲 覦 螳螳 伎 蠍 . Nasal tip 覿 螳螻旧 企旧 朱 蠏 覿
- 19. CONCAHL CARTILAGE 豈豬 覦覯 螳ロ 讓 覃伎 perichondrium 覿 豈豬 蟆 伎 譟伎 朱 覦 蠏襯 讌讌 framework helix crus 蟆 螻 蠏 覦 cymba concha, 蠏 覦 cavum concha 襦 豈豬 蟆 譬 .
- 20. CONCAHL CARTILAGE 螳 レ composite graft 襦 skin 螻 蟷 郁絵 覿 豈豬螳 螳ロ alar retraction 企 reconstruction 襷れ 蟆 る 企 .
- 22. COMPOSITE ALAR RIM GRAFT 1. Skin-conchal cartilage graft 2. Moderate to severe alar retraction 3. Correct asymmetries in alar rim height 4. Combat nostril or vestibular stenosis
- 23. COSTAL CARTILAGE レ 襷 豈豬 螻 れ蟆 螳螻牛蠍郁 ｸ襴 . 譟伎 朱 殊 螳螻 ′ 觜蟲 . 蠍一ヾ artificial implant 殊 覦企 蟲豢 煙 覦 蟆曙一 . 襷 augmentation 蟆曙一 artificial implant 觜 蟆 . 伎 (warping) 覦 . 螳 覿 郁 蠍企 . 豈豬 螳 蟇碁 螳 蠍語伎 . 蟲 襷豬襦 螳ロ讌襷 覿覿 襷豬螳 . 螳螻牛 螳 蟇碁Π .
- 24. COSTAL CARTILAGE 豈豬 螳 覿 豈豬 (4-5 覯讌 郁絵 ) 覦 蟆曙 覦 譯朱 覿襯 螳 郁 螳れ 覲伎碁 . 覦 蟇磯 蟆曙一 讌 . 覦 覿 豈豬 (7-8 覯讌 郁絵 ) 讌蟆曙 螳伎 蠍磯 譬朱 覦 覿 螳 郁 . costal cartilage union 覿蟾讌 豈豬 襷 豈豬螳 螳ロ覃 危 襷レ .
- 26. COSTAL CARTILAGE 豈豬 覦覯
- 27. COSTAL CARTILAGE る蠍 Balanced cross-section principle Costal cartilage 螳 warping 伎 郁絵 螳 覦蟾レ元 subchondral layer 螳 螳螻 ルリ骸 伎元 螳螻 曙綾 螳 蠏 覲蠍 覓語企 . costal caartilage 襯 る 1 螳 伎 豕朱 伎覩襦 螳 襴 殊 願り 螳 讌 伎 蟆 譬 .
- 29. COSTAL CARTILAGE 曙 覦覯 costal cartilage 觜蟲 螳 蟆暑 覩碁 煙 螳讌螻 蠍 覓語 曙 implant 螳 り碓襴蟇 覩碁讌 螳レ煙 . 磯殊 nasal dorsum pocket 襷 螳ロ 螻 襷る蟆 伎 costal cartilage 豐 覃伎 豕螳 蟆 蟇磯 costal cartilage 覦 覿襯 nasal dorsum 螻 覦谿 蟆 る 蟆 譴 . 伎 リ 覓殊 螻 nasal dorsum 襯 螳 曙朱 磯る 覲伎 朱 覃伎 襷る讌襯 誤 誤覿 蟆曙 企襯 れ る .
- 31. COSTAL CARTILAGE 襯 伎 DORSAL AUGMENTATION 襷 augmentation 蟇磯 伎 伎覓 蟇磯 覦企 殊 覦 蟆曙 , 螳 autologous implant 襦 augmentation 蟆曙 螳 譬 autologous implant 企 .
- 33. COSTAL CARTILAGE れ 螳 レ 觜蟲 螳 蟆暑襯 螳讌 ′ autologous implant 朱 蟆企 . 伎 企 螻襦 誤 貊 豢 煙朱 誤 螳 strut 螳 蟇磯 tip projection 蟆 蟆 伎 .
- 35. DERMIS-FAT 伎 DORSAL AUGMENTATION レ 豈豬蠍郁 暑 . れ蟆 . 譟伎 觜蟲 螻 ′ . 豈豬蠍 螻旧覿襦 覿 覿 豈豬 手 覦 豌 煙 覿ｸ . ′ 豸″蠍 る .
- 36. DERMIS FAT 豈豬 譯朱 覩語 蟠レ 譯朱 讓曙企 覿 豈豬 . 襷 豈豬 レ 朱 覿 螳 螻 豌 . post-auricular dermis-fat donor site 螳 殊 豈豬螳 螳ロ螻 豌 螳ｸ覃 郁 レ .
- 38. DERMIS FAT 伎 覦覯 覿 蠏碁襦 曙 蟆 .