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KMID : 0358819850120030369
Journal of Korean Society of Plastic and Reconstructive Surgeons
1985 Volume.12 No. 3 p.369 ~ p.377
A METHOD OF SADDLE NOSE RECONSTRUCTION BY MEANS OF TEMPORAL FASCIA-SILASTIC IMPLANT AFTER REMOVAL OF PARAFFINOMA
Lee Yoon-Ho

Park Myung-Ook
Abstract
During the last two years, in the Dept. of Plastic & Reconstr. Surgery, SNUH, 21 patients with saddle nose deformity after ramoval of nasal paraffinoma were treated with satisfactory results by means of inserting temporalis fascia-wrapped silastic implant.

Some merits of the above method are found as follows.

1. Silastic is a material that is easy to carve in comparison with cartilage or bone, and that is not absorbed or dead after implantation and its aesthetic result is far better than the latter.

2. Most of the paraffinoma can be removed by using Metzenbaum scissors and electrical rasp only through bilateral rim incision, resulting no visible scars outwardly.

3. The survival rate of grafted autogenous fascia is so great that the extrusion of silastic implant can be prevented owing to the fascial reinforcement of thinned dermis.

4. In one of the three telangiectasis cases from among 21 patients, telangiectasis phenomenon was diminished by this method, therefore we hope that some benefit could be obtained through this method in the treatment of telangiectasis cases.
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