ỨNG DỤNG SỤN SƯỜN NHUYỄN TỰ THÂN TRONG CHỈNH HÌNH MŨI CHẤN THƯƠNG

Abstract

Objectives: Application of autologous diced costal rhinoplasty on patients with nasal bone fracture after facial trauma. Materials and Methods: descriptive study with intervention. To survey about clinical symptoms and accompanying lesions of patients having complex nasal bone fracture after facial trauma. Effect of costal rhinoplasty combined with nasal endoscopic surgery in patients nasal bone fracture after facial trauma at the Otolaryngology Department - Cho Ray Hospital. Results: From 02/2020 - 12/2022, there are 65 cases of serious nasal bone fractures after facial trauma have operated autologous diced costal open rhinoplasty and nasal endoscopic cooperation to cure post-trauma sinusitis. There arc a lot of lesions in facial trauma consist of 65/65 (100%) cases with nasal bone fracture and nasal dorsal concave, nasal septal fracture (69,2%), nasofrontal joint collapse (14,6%). Almost of cases were autologous diced costal rhinoplasty (100%). In addition, surgeon must combine with other surgery such as: nasal septoplasty (53,8%); nasofrontal joint elevator (24,6%); 6,2% maxillary endoscopic surgery. Conclusion: Traumatic rhinoplasty is challenging and difficult surgery. Almost os cases traumatic nasal bone fracture were applied autologous diced costal cartilage in open rhinoplasty giving good results, sastification of almost patients, rare complications such infected, displaced nasal dorsum.