揭示肋软骨鼻整形术中与电子烟相关的气胸风险。

文献信息

中文摘要

肋软骨移植因其无异物植入以及皮肤穿孔风险极低至近乎为零的优势，成为鼻整形术的常用方法。然而，该手术也存在一些潜在风险，包括软骨变形和气胸。尽管多项研究指出，肋软骨采集过程中气胸的发生率非常低，但我们不能忽视其现实性和发生的可能性。本文重点介绍两例肋软骨移植鼻整形术中罕见的气胸病例。第一例为一名37岁女性在肋软骨采集过程中发生的气胸。第二例为一名46岁女性在肋软骨鼻整形手术后立即发生的自发性气胸。两例气胸分别通过保守观察和胸腔闭式引流成功处理。患者完全康复，并能够恢复正常活动。气胸的潜在风险之一是使用电子烟或吸电子烟。与电子烟相关的自发性气胸仅有个别研究报道。这些病例强调了认识肋软骨移植鼻整形术潜在风险并采取措施加以减少和管理的重要性。

英文摘要

Rib cartilage grafting is a popular procedure for rhinoplasty due to its advantages of zero foreign material involvement and minimal to near zero risk of skin perforation. However, there are some potential risks associated with this procedure, including warping and pneumothorax. Even though multiple studies have stated that the incidence rate of pneumothorax in rib graft harvest is very low, we cannot neglect its reality and probability of it happening. In this article, we highlight two rare cases of pneumothorax in rib cartilage graft rhinoplasty. The first case involved a pneumothorax that occurred during rib cartilage harvest in a 37-year-old woman. The second case involved a spontaneous pneumothorax that occurred immediately after rib cartilage rhinoplasty surgery in a 46-year-old woman. Both pneumothoraces were managed successfully with conservative observation and chest tube placement, respectively. The patients made a full recovery and were able to return to their normal activities. One of the potential risks of pneumothorax is the use of e-cigarettes or vaping. Vaping-associated spontaneous pneumothorax has been reported in only a handful of studies. These cases highlight the importance of being aware of the potential risks of rib cartilage graft rhinoplasty and taking steps to minimize and manage them.