闭合切口软骨悬吊法鼻尖上提术  

Suspension suture technique for lifting nasal tip through closed approach

作　　者：刁志勇[1] 尚勇[1] 高崧瀛[1] 

机构地区：[1]哈尔滨医科大学附属第一医院整形美容外科,黑龙江哈尔滨150001

出　　处：《中国美容医学》2008年第1期41-43,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探索在闭合切口下应用软骨悬吊法上提鼻尖的简便方法及疗效。方法:沿双侧鼻翼缘做弧形切口,在皮下剥离使双侧切口贯通,继续在皮下充分剥离鼻尖及鼻背区域。在10ml注射器针头的导引下,将双侧鼻翼软骨的穹隆部悬吊固定于鼻背软骨与骨结合部的软骨上,使鼻尖上提。结果:临床病例20例,经3个月到两年随访均取得了良好的鼻尖上提效果,长期保持了良好的鼻尖形态。结论:在闭合切口下,利用鼻背软骨与骨结合部的软骨作为固定锚着点的悬吊法上提鼻尖方法远期效果良好、稳定,操作简便、易行。Objective To investigate a simple procedure for nasal tip lift with suture suspension technique through a closed method that allows the nasal tip to be lifted while maintaining its appropriate position. Methods The osteocartilaginous junction was used as an anchor for the suture suspension technique. This technique requires the use of a guide that positions the sutures across the medial side of both domes of the alar cartilages and osteocartilaginous junction to lift nasal tip. Results The results were satisfactory in all of 20 patients, but one patient had minimal asymmetry of the nasal tip. With 3 to 24 months follow-up, significant upward nasal tip rotations were maintained long term. Conclusion With this suspension suture technique, using the osteocartilaginous junction as a anchor provided the optimal position of the nasal tip and long-term nasal tip stability. This technique was simple and reversible intraoperatively.

关 键 词：鼻尖 闭合切口 鼻翼软骨 

分 类 号：R622[医药卫生—整形外科]