宽鼻背畸形的手术治疗  

Comprehensive rhinoplasty of wide nasal dorsum deformity

作　　者：袁继龙[1] 王莉波[1] 林立新[2] 柳大烈[2] 

机构地区：[1]辽宁省人民医院整形外科,辽宁沈阳110016 [2]广州南方医科大学珠江医院整形外科

出　　处：《中国美容整形外科杂志》2008年第6期404-406,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨宽鼻背畸形的有效整复方法。方法采用单纯性鼻内外侧截骨术及联合骨峰去除术、楔形骨去除术、鼻骨及上颌骨额突磨削术、部分皮下组织去除术、Ⅰ期或Ⅱ期隆鼻术等综合技术,对临床58例宽鼻背畸形的患者进行手术治疗。结果58例患者术后Ⅰ期愈合。术后鼻背宽度较术前缩窄9～15mm,鼻背侧面与颊部平面形成的角度较术前减少10°～20°,鼻梁挺拔。16例患者获随访6个月至1年,患者鼻外形均得到明显改善。结论在手术整复鼻背过宽时,应结合每个病例的解剖学成因,大多数病例单纯采用鼻内外侧联合截骨术,即可以达到理想效果,但有些病例须辅助其他手术方法,才能达到理想效果。Objective To explore an effective method for repairing wide nasal dorsum deformity. Methods Fivty - eight cases with wide nasal dorsum deformity were treated by applying techniques of simple lateral and medial osteotomies in conjunction with hump removal, wedge osteectomies, frontal process of maxillary bone and nasal bone grinding, deep fatty panniculus excision and nose augmentation. Results All patients followed up 6 12 months were satisfied with good nose shape. Compared with preoperation, the width of nasal dorsum was narrowed by 9-- 15 mm, and angle between lateral of nasal dorsum and buccal plane was decreased by 10 -- 20 degree. Conclusion Management of the wide nasal dorsum should begin with a comprehensive analysis of the underlying causative anatomy. Although most cases may be managed satisfactorily with simple lateral osteotomies, a large percentage of patients will require adjunctive or alternate techniques to achieve optimal results.

关 键 词：鼻整形 宽鼻背畸形 截骨术 

分 类 号：R622[医药卫生—整形外科]