실리콘판과 실리콘접착제로 만든 비삽입물 = A NASAL IMPLANT MADE OF SILICONE SHEET AND SILICONE ADHESIVE

다국어 초록 (Multilingual Abstract)

Augmentation rhinoplasty now involves flat noses as well as saddle or deviated noses. Creation of an accurate nasal implant is critical for augmentation rhinoplasty in such cases. The author has devised a new method to create implants. First, an ideal nasal patters is made from a xeroradiogram of a profile of the face. A silicone sheet (0.06 inch in thickness) is then tailored to this pattern and mounted on a stone model of the patient's nasal impression. Silicone adhesive is squeezed onto both sides of the silicone sheet and cured. Finally a carving of the outer surface of the implant is done with a #11 blade. Consequently a nasal implant is composed of silicone sheet and silicone adhesive.
The results of the clinical experience of augmentation rhinoplasty with this implant are as follows:
1. A shaping of the implant with the same angle and size of the preoperative design.
2. The undersurface of the implant has contact with the patient's nasal contour.
3. A smooth and natural curvature of the nose.
4. Easy carving because the implant is attached firmly to the stone model.
5. Preoperative discussion with the patient is possible.
6. A saving of operative time because the implant is perfectly shaped preoperatively
7. Less expense than other types of silicone implants.
8. The making of the implants is easier for inexperienced workers.
9. The disadvantages are that it is more time consuming and is a staged production