<< 亞洲大師PCL片(PCL骨骼填充物)使用經驗分享! 2019,2020 PCL 片使用文獻總整理細節分析>>
近來不少患者前來詢問關於隆鼻新材質PCL片(PCL骨骼填充物,類似少女針Ellanse材質)的相關議題,雖然目前張簡醫師並未有相關使用心得,但能以過往醫學會議與學術教科書資料為各位讀者做一個簡單資訊分享。本文相關資料以2019年心美眼國際鼻整形會議(圖一至圖六)與2019年TAAPs鼻整形專題會議心得及2020鼻整形隆鼻教科書(圖七至圖十一)為參考資料供各位讀者參考。
1. Dr Eduardo Yap :Technique in the Safe Use of PCL in Rhinoplasty
Dr Yap 是菲律賓鼻整形大師,由於某些原因沒有出席本次會議改以視訊方式做演講,內容是使用PCL片的技巧。最重要的關鍵點應該是需要利用自體軟骨包覆PCL片做鼻中膈延長,這樣做的原因當然是怕PCL片暴露於鼻腔造成感染,這樣的使用技巧也在另一位韓國醫師演講中被提及
2. Dr. Tae-Hwan Ahn : A New Technique in the Nasal tip Plasty : a Sandwich Technique using PCL mesh , Septal cartilage , and Bone Complex
韓國Fresh Rhinoplasty Clinic 院長的講題,一樣是利用硬骨與軟骨包覆在PCL片的方式延長鼻頭,主要講題還是在分享如何安全使用PCL片
3. Dr Ji-Yun Choi : New techniques of nasal tip plasty using septal extension graft supported by 3D printing polycaprolactone plate in Asian patient
來自光州Chosun大學醫院的Dr Choi 是張簡醫師心美眼同門師兄,也曾經留美多年,複雜隆鼻手術經驗相當豐富,是張簡醫師相當推崇尊敬的一位醫師。他的講題中有針對43位平均年紀28歲接受PCL片隆鼻手術的患者進行滿意度追蹤調查(平均追蹤時間最長到達20個月,未超過2年。此部分較為可惜,因為PCL預計吸收時間是兩年,但這次的研究調查鼻尖滿意度未超過兩年,故研究上張簡醫師認為可以再追蹤久一點。)
43個患者之中,26人有很好的滿意度(極佳滿意度60%?),13人覺得不錯 (感覺不錯與極佳的比例到達90%)
鼻頭術後一年沒有垂下來的患者有28人,有13人鼻頭有輕度到中度下垂(占30%),有兩人鼻頭嚴重下垂(4%)
31位患者覺得鼻頭較硬,11位較不舒服的情形。
演講過程中的一個小插曲讓張簡醫師印象深刻,當講到兩年滿意度那張幻燈片時,Dr Choi將幻燈片一閃而過,令人錯愕與不解,或許是他暫時也不想就這個議題做一些會後的答辯吧?
4. Dr Geun-uck Chang 首爾韓娜鼻鼻整形診所張槿旭院長,於2019年台灣形體美容醫學會鼻整形專題演講時,也對此產品做過一番說明,結論是建議在初次隆鼻的患者可以使用此一產品,鼻重修患者則不建議。手術經驗上仍有部分患者產生了感染需要進行重修手術。
5. 2020年心美眼鄭東學院長出版的鼻整形隆鼻教科書中,第一部第六章鼻整形手術材料中也收錄了對這一材料的描述,也引用了Dr Ahn的論文,大部分著墨在材料穩定與3D列印工程等議題 。全文如下圖各位讀者可以參考。
小結:PCL片應用在隆鼻手術上,目前漸漸為亞洲各地的醫師所接受,使用量而言以韓國,菲律賓患者人數較多,經驗較為豐富。患者的手術反饋上似乎沒有太大問題,目前資料看起來這個材料應該有一定程度的穩定性與安全性。但較為長時間的手術結果,仍然需要時間來證明,畢竟兩年的吸收時間非常漫長,資料研究也不易收集。台灣目前也有合法引進此一材料,也有部分醫師也都開始使用。若有興趣患者仍可再全盤了解後,再進行該材料的隆鼻手術,外來材料延長鼻頭仍有感染疑慮,若有感染也須儘早處理以免造成後續攣縮等問題。
#beauty #likeforlike #reading #cosmetics #cosmeticsurgery #plasticsurgery #rhinoplasty #rhinoplastybeforeandafter #nose #nosejobs #pcl #台北 #東區 #整形 #醫美 #鼻整形 #隆鼻 #no1nosetaipei
同時也有2部Youtube影片,追蹤數超過27萬的網紅Adrian Lo Dejavu,也在其Youtube影片中提到,Hello guys! This video currently is not about vaping nor cigarette side effect or anything. Is just my stucking nasal purpose. Is been 10 years i didn...
nasal bone 在 Chris Leong Facebook 的最讚貼文
A normal adult human body is consist of 206 bones. Human skeleton can be divided into 2 main parts-
Axial skeleton & Appendicular skeleton.
Axial skeleton-
It can be further divided into 3 parts. The number of each bone is given-
Skull- It has 29 bones-
Cranial bones (8)-
The occipital bone
The parietal bones(2)
The frontal bone
The temporal bone (2)
The sphenoid bone
The ethmoid bone
Facial bones (14)-
The nasal bones (2)
The maxillae (2)
The lacrimal bone (2)
The zygomatic or cheekbone (2)
The palatine bone (2)
The inferior nasal concha (2)
The vomer
The mandible
The hyoid bone
Middle ears (6)-
Malleus (2)
Incus (2)
Stapes (2)Thorax- It has 25 bones -
The Sternum (1)
The ribs (24, in 12 pairs)Vertebral column- It has 26 bones-
The cervical vertebrae (7)
The thoracic vertebrae (12)
The lumber (5)
The sacral vertebrae (1)
The coccygeal vertebrae
Appendicular skeleton-
can be divided into 3 parts-
Arm- has 64 bones-
The humerus (2)
The scapula(2)
The clavicles (2)
The ulna(2)
The radius (2)
The carpals (16)
The metacarpals (10)
The phalanges of the handproximal phalanges (10)
intermediate phalanges (8)
distal phalanges (10)Pelvis- has 2 bonesLeg
The femur(2)
The patella or kneecap (2)
The tibia (2)
The fibula (2)
The foot (52)
The number of bones in adult are not the same as the time we born. There are 270 bones present in an normal human infant .
➡️Spine 26 ,Chest 25 ,Head 28 ,Arms 64 ,Legs 60 ,Pelvis 3
(206)
nasal bone 在 Chris Leong Facebook 的精選貼文
A normal adult human body is consist of 206 bones. Human skeleton can be divided into 2 main parts-
Axial skeleton & Appendicular skeleton.
Axial skeleton-
It can be further divided into 3 parts. The number of each bone is given-
Skull- It has 29 bones-
Cranial bones (8)-
The occipital bone
The parietal bones(2)
The frontal bone
The temporal bone (2)
The sphenoid bone
The ethmoid bone
Facial bones (14)-
The nasal bones (2)
The maxillae (2)
The lacrimal bone (2)
The zygomatic or cheekbone (2)
The palatine bone (2)
The inferior nasal concha (2)
The vomer
The mandible
The hyoid bone
Middle ears (6)-
Malleus (2)
Incus (2)
Stapes (2)Thorax- It has 25 bones -
The Sternum (1)
The ribs (24, in 12 pairs)Vertebral column- It has 26 bones-
The cervical vertebrae (7)
The thoracic vertebrae (12)
The lumber (5)
The sacral vertebrae (1)
The coccygeal vertebrae
Appendicular skeleton-
can be divided into 3 parts-
Arm- has 64 bones-
The humerus (2)
The scapula(2)
The clavicles (2)
The ulna(2)
The radius (2)
The carpals (16)
The metacarpals (10)
The phalanges of the handproximal phalanges (10)
intermediate phalanges (8)
distal phalanges (10)Pelvis- has 2 bonesLeg
The femur(2)
The patella or kneecap (2)
The tibia (2)
The fibula (2)
The foot (52)
The number of bones in adult are not the same as the time we born. There are 270 bones present in an normal human infant .
➡️Spine 26 ,Chest 25 ,Head 28 ,Arms 64 ,Legs 60 ,Pelvis 3
(206)
nasal bone 在 Adrian Lo Dejavu Youtube 的最佳貼文
Hello guys! This video currently is not about vaping nor cigarette side effect or anything. Is just my stucking nasal purpose. Is been 10 years i didnt feel good about my nasal. Cant breathe smoothly like everyone. Just left abit hole for me to breathe both side. Doctor say is not about sinus. Is about my bone was bent due to fighting or fall down when i was a kid. Maybe i was naughty last time. Thats y i cant do bane/ french inhale hahahaha. Just gonna see after this recover izit my vape tricks will be more better? Hahaha ????

nasal bone 在 [email protected] Youtube 的最佳貼文
Nasal Fractures - Dr. Hung Che Wai Terry@FindDoc.com
Source: https://www.finddoc.com/en
Background: Mr. Ko's face was hit by a basketball while he was playing basketball with his friends. Mr. Ko started having nosebleed and feeling pain shortly after the hit. He thought he could recover after some rest; however, after two days, Mr. Ko was having persistent nasal congestion. He also noticed that his nasal bridge was slightly out of position.
(1) How can one distinguish between a minor nasal injury from nasal fractures? How can the doctor diagnose? 0:25
(2) What sequelae could develop from nasal fracture? 2:26
(3) What treatments are available for nasal fracture? 3:45
(4) If Ken’s nose is hit again after recovery, will it complicate his recovery? 5:03
瀏覽中文版本短片:
http://youtu.be/HnnhAnS2PKI
Search Doctor information:
https://www.finddoc.com/
Let's Connect:
https://www.facebook.com/FindDoc
https://plus.google.com/102821364210960788806/posts

nasal bone 在 Nasal Bone - an overview | ScienceDirect Topics 的相關結果
The nasal bones are two small, symmetrical oblong bones, each having two surfaces and four borders. Positioned in the midface, at their junction, they form the ... ... <看更多>
nasal bone 在 Locations of the nasal bone and cartilage - Mayo Clinic 的相關結果
Your nose is supported by bone (at the back and bridge) and by cartilage (in the front). Advertisement. Mayo Clinic does not endorse companies or products. ... <看更多>
nasal bone 在 Nasal bone - Wikipedia 的相關結果
The nasal bones are two small oblong bones, varying in size and form in different individuals; they are placed side by side at the middle and upper part of ... ... <看更多>