Xu Ruixian, a head and neck surgeon in the Department of Otolaryngology, MacKay Hospital, who admitted Miss Gao, said that this serious saddle nose must undergo nasal plastic surgery to improve the patient's appearance and respiratory function. "However, the patient had inflammation and infection problems in the past, so it is not recommended to use external substances, but to implant the patient's own costal cartilage," Xu Ruixian explained.
Xu Ruixian took out the 7th cartilage about 5cm from Miss Gao's chest wall, carved it and implanted it into her nose. When the stitches were removed six days after operation, Miss Gao was overjoyed to see the reconstructed nose, saying that the reconstructed nose was more beautiful than the original nose, so she didn't need to wear a mask when going out.
It is a rare phenomenon that cellulitis is caused by acne. Xu Ruixian pointed out that it is a very rare example that Miss Gao is infected by bacteria because of the removal of acne on her nose. As long as she pays attention to the cleanliness of things at ordinary times, this situation should not happen. "In fact, mild cellulitis can heal itself, but if the swelling and pain caused by red heat does not improve for a long time, we need to pay attention to it and see a doctor if necessary. 」
Autologous costal cartilage transplantation avoids rejection. Xu Ruixian said that autologous costal cartilage implantation will not have any rejection, the tissue can be fixed well, and it is not easy to slip off and infect, so it can be used in various nasal reconstruction operations. It is the safest choice for people who have suffered from rejection of augmentation rhinoplasty implants, or patients with severe rhinorrhea and collapse.
However, the process of taking costal cartilage and carving nose shape by hand tests the surgeon's surgical specialty and aesthetic feeling; And the operation time is longer than the general operation time; Very few patients may have the problem of implant bending after many years.
In addition, women over 50 years old are prone to costal cartilage calcification, which will also affect the choice of costal cartilage. Xu Ruixian reminded that the problems of individual patients should be evaluated by professional doctors before arranging appropriate treatment methods.
Wang Yingbiao, director of Taiwan Province Otolaryngology Head and Neck Surgery Society, added that it is an international trend to use autogenous costal cartilage for nasal plastic reconstruction, and the implant will not produce rejection, and it is not easy to slip off or be infected. In addition, the number of costal cartilage is more than that of auricular cartilage or nasal septum cartilage, so it can be used in various nasal reconstruction operations.
In addition, in order to treat diseases and improve appearance, the Ministry of Health and Welfare has included facial reconstruction and plastic surgery in the training curriculum benchmark of otorhinolaryngology head and neck surgery in July 20 16, and even listed the otorhinolaryngology head and neck surgery in the Revised Draft Management Measures for the Implementation and Use of Medical Devices for Specific Medical Technology Examination (hereinafter referred to as "Special Management Measures") published on September 6, 20 18.