Use of Autologous Adipose-Derived Stromal Vascular Fractions in Revision Rhinoplasty for Severe Contractures in Asian Patients

Autologous adipose-derived stromal vascular fraction treatments have been shown to elicit antiinflammatory, antifibrotic, immunomodulatory, angiogenic, and regenerative effects. Injections of adipose-derived stromal vascular fraction have been used to treat severely scarred tissues. Revision septorh...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 2021-03, Vol.147 (3), p.401e-411e
Hauptverfasser: Ahn, Tae Hwan, Lee, Won, Kim, Hyoung Moon, Cho, Sung Bin, Yang, Eun-Jung
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container_title Plastic and reconstructive surgery (1963)
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creator Ahn, Tae Hwan
Lee, Won
Kim, Hyoung Moon
Cho, Sung Bin
Yang, Eun-Jung
description Autologous adipose-derived stromal vascular fraction treatments have been shown to elicit antiinflammatory, antifibrotic, immunomodulatory, angiogenic, and regenerative effects. Injections of adipose-derived stromal vascular fraction have been used to treat severely scarred tissues. Revision septorhinoplasty was performed in 40 patients with severely contracted noses. Clinical outcomes and adverse events were compared between one group of patients treated with adjuvant adipose-derived stromal vascular fraction injections and a control group of patients treated with adjuvant 0.9% preservative-free saline injections. In the adipose-derived stromal vascular fraction group, nasal lengths were estimated at 4.2 ± 0.2 cm at baseline to 5.1 ± 0.2 cm at 18 months after revision septorhinoplasty. The lengths of nasal tip projection improved from 2.2 ± 0.2 cm at baseline to 2.9 ± 0.1 cm 18 months after surgery. In addition, nasofrontal angles improved from 125.6 ± 5.1 degrees at baseline to 128.1 ± 4.8 degrees 18 months after surgery. Nasolabial angles in the adipose-derived stromal vascular fraction group were estimated at 105.8 ± 6.5 degrees at baseline and 94.9 ± 5.6 degrees 18 months after surgery. Of these, nasal length, nasal tip projection, and nasolabial angle, but not nasofrontal angle, values improved more in the adipose-derived stromal vascular fraction group than in the control group. Preoperative and postoperative adjuvant adipose-derived stromal vascular fraction treatment markedly improved the therapeutic outcomes of revision rhinoseptoplasty of severely contracted noses without major side effects. Therapeutic, III.
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Injections of adipose-derived stromal vascular fraction have been used to treat severely scarred tissues. Revision septorhinoplasty was performed in 40 patients with severely contracted noses. Clinical outcomes and adverse events were compared between one group of patients treated with adjuvant adipose-derived stromal vascular fraction injections and a control group of patients treated with adjuvant 0.9% preservative-free saline injections. In the adipose-derived stromal vascular fraction group, nasal lengths were estimated at 4.2 ± 0.2 cm at baseline to 5.1 ± 0.2 cm at 18 months after revision septorhinoplasty. The lengths of nasal tip projection improved from 2.2 ± 0.2 cm at baseline to 2.9 ± 0.1 cm 18 months after surgery. In addition, nasofrontal angles improved from 125.6 ± 5.1 degrees at baseline to 128.1 ± 4.8 degrees 18 months after surgery. 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subjects Adipose Tissue - blood supply
Adipose Tissue - cytology
Adult
Asians
Cicatrix - diagnosis
Cicatrix - etiology
Cicatrix - surgery
Combined Modality Therapy - methods
Contracture - diagnosis
Contracture - etiology
Contracture - surgery
Female
Humans
Injections
Male
Mesenchymal Stem Cell Transplantation - methods
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - surgery
Reoperation - methods
Republic of Korea
Retrospective Studies
Rhinoplasty - adverse effects
Rhinoplasty - methods
Severity of Illness Index
Treatment Outcome
Young Adult
title Use of Autologous Adipose-Derived Stromal Vascular Fractions in Revision Rhinoplasty for Severe Contractures in Asian Patients
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