PDF(Pubmed)
Abstract：
BACKGROUND: In rhinoplasty, calcification around silicone implants is frequently observed in the tip dorsum (TD) area. Additionally, based on a review of various literature, it is presumed that calcification in silicone implants occurs due to both inflammatory chemical reactions and physical friction against the tissue. The calcification of nasal silicone implants not only results in the functional loss of the implants, but also leads to material deformation. However, there is a lack of research on calcification of nasal silicone implants in the current literature.
OBJECTIVE: To elucidate various clinical characteristics of calcification around nasal silicone implants, using histological and radiological analysis.
METHODS: This study analyzed data from 16 patients of calcified nasal implants, who underwent revision rhinoplasty for various reasons after undergoing augmentation rhinoplasty with silicone implants. The collected data included information on implant duration, implant types, location of calcification, presence of inflammatory reactions, and computed tomography (CT) scans.
RESULTS: The most common location of calcification, as visually analyzed, was in the TD area, accounting for 56%. Additionally, the analysis of CT scans revealed a trend of increasing Hounsfield Unit values for calcification with the duration of implantation, although this trend was not statistically significant (P = 0.139).
CONCLUSIONS: Our study shows that reducing the frequency of calcification may be achievable by using softer silicone implants and by minimizing the damage to perioperative tissues.
OBJECTIVE: To elucidate various clinical characteristics of calcification around nasal silicone implants, using histological and radiological analysis.
METHODS: This study analyzed data from 16 patients of calcified nasal implants, who underwent revision rhinoplasty for various reasons after undergoing augmentation rhinoplasty with silicone implants. The collected data included information on implant duration, implant types, location of calcification, presence of inflammatory reactions, and computed tomography (CT) scans.
RESULTS: The most common location of calcification, as visually analyzed, was in the TD area, accounting for 56%. Additionally, the analysis of CT scans revealed a trend of increasing Hounsfield Unit values for calcification with the duration of implantation, although this trend was not statistically significant (P = 0.139).
CONCLUSIONS: Our study shows that reducing the frequency of calcification may be achievable by using softer silicone implants and by minimizing the damage to perioperative tissues.
摘要：
背景：在隆鼻手术中，经常在尖端背侧（TD）区域观察到有机硅植入物周围的钙化。此外,根据对各种文献的回顾，据推测，由于炎症化学反应和对组织的物理摩擦，硅胶植入物中的钙化发生。鼻硅胶植入物的钙化不仅导致植入物的功能丧失，还会导致材料变形。然而,目前文献中缺乏对鼻内硅胶植入物钙化的研究。
目的：阐明鼻腔硅胶植入物周围钙化的各种临床特征，使用组织学和放射学分析。
方法：本研究分析了16例钙化鼻植入物患者的数据，在使用硅胶植入物进行隆鼻术后，由于各种原因进行了隆鼻术。收集的数据包括植入物持续时间的信息，植入物类型,钙化的位置，炎症反应的存在，和计算机断层扫描（CT）扫描。
结果：钙化最常见的位置，如视觉分析，在TD地区，占56%。此外,CT扫描分析显示，随着植入时间的延长，钙化的Hounsfield单位值呈增加趋势，尽管这一趋势没有统计学意义(P=0.139)。
结论：我们的研究表明，通过使用较软的硅胶植入物和最大程度地减少对围手术期组织的损害，可以降低钙化的频率。
目的：阐明鼻腔硅胶植入物周围钙化的各种临床特征，使用组织学和放射学分析。
方法：本研究分析了16例钙化鼻植入物患者的数据，在使用硅胶植入物进行隆鼻术后，由于各种原因进行了隆鼻术。收集的数据包括植入物持续时间的信息，植入物类型,钙化的位置，炎症反应的存在，和计算机断层扫描（CT）扫描。
结果：钙化最常见的位置，如视觉分析，在TD地区，占56%。此外,CT扫描分析显示，随着植入时间的延长，钙化的Hounsfield单位值呈增加趋势，尽管这一趋势没有统计学意义(P=0.139)。
结论：我们的研究表明，通过使用较软的硅胶植入物和最大程度地减少对围手术期组织的损害，可以降低钙化的频率。
