Correction of the soft tissue pollybeak using triamcinolone injection.
Correction of the soft tissue pollybeak using triamcinolone injection.
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DOI：
10.1001/archfaci.4.1.26
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发表时间：
2002-01-01
影响因子：
--
通讯作者：
Koch, R James
中科院分区：
文献类型：
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作者：
Hanasono, Matthew M;Kridel, Russell W H;Koch, R James
目的：描述病灶内注射曲安奈德矫正软组织多喙畸形的技术。方法：我们讨论使用曲安奈德注射治疗软组织多喙畸形的理念、方案和技术。我们纳入了 173 名接受鼻整形手术的患者的结果，这些患者由我们中的一名患者（新泽西州）进行。结果：127 名患者 (73%) 在手术后 1 周注射了曲安奈德。 127 名患者中有 92 名 (72%) 在术后 4 周进行了第二次注射。根据外科医生的判断，127 名患者中的 108 名 (85%) 获得了可接受的结果，具有良好的上尖端清晰度。根据外科医生的判断，127 名患者中有 19 名 (15%) 的结果不太理想，有残留的上尖饱满度。曲安西龙注射未出现并发症。结论：由于翻修手术难度大且可能出现并发症，病灶内注射曲安西龙是治疗皮下疤痕所致软组织多喙畸形的一线治疗方法。如果病灶内类固醇注射不能令人满意地治疗畸形，随后可以进行鼻整形修复术。
OBJECTIVE: To describe the technique for correction of the soft tissue pollybeak deformity using intralesional injection of triamcinolone acetonide.METHODS: We discuss our philosophy, regimen, and technique for treatment of the soft tissue pollybeak using triamcinolone injection. We include results from a series of 173 patients who underwent rhinoplasty performed by one of us (N.J.P.).RESULTS: Triamcinolone was injected at 1 week after surgery in 127 patients (73%). A second injection was performed in 92 (72%) of the 127 patients at 4 weeks after surgery. One hundred eight (85%) of the 127 patients had an acceptable result, as judged by the surgeon, with good supratip definition. Nineteen (15%) of the 127 patients had a less than optimal result, with residual supratip fullness, as judged by the surgeon. There were no complications caused by triamcinolone injection.CONCLUSIONS: Because revision surgery is difficult and may be associated with complications, intralesional triamcinolone injection is the first-line treatment for the soft tissue pollybeak deformities caused by subdermal scarring. Should intralesional steroid injection fail to satisfactorily treat the deformity, revision rhinoplasty can subsequently be performed.