Alloplastic or homograft implantation for nasal reconstruction

• Κύριος συγγραφέας: Δρόσου, Αλίκη-Κωνσταντίνα
• Άλλοι συγγραφείς: Drosou, Aliki-Konstantina
• Γλώσσα: English
• Έκδοση: 2021
• Θέματα: Grafts; Rhinoplasty; Alloplasts; Nasal reconstruction; Ρινοπλαστική; Μοσχεύματα; Αλλοπλάστες; Επανόρθωση ρινός

Reconstructive and aesthetic rhinoplasty commonly requires utilizing implants to recreate nasal contour or strengthen the support for the nasal frame and soft tissues. Implants are divided into three main categories: autografts, homografts and alloplasts. Each aforementioned group is characterized by notable benefits and deficits. An ideal implantable material must possess biocompatibility, strength and elasticity. The material should be unable of inducing inflammatory reactions, be carcinogenic, delicate in mechanical strain, inflexible, and non-sterile. Several surgeons would argue that autografts should be the dominant choice for nasal reconstruction and regeneration. Autogenous tissue has long been advocated as the mainstay for nasal implants and is most commonly employed for structural and augmentation grafting in the nasal tip, as well as for dorsal malformations. However, the finite availability and non-predictable absorption of both autologous and homologous implants have made newer alloplastic implants imported to crucial considerations for dorsal augmentation. Conservative surgeons believe in making natural-appearing, well-supported, well-balanced noses. Conclusively, often the need to add something to create projection, balance, or support is desired.