鼻中隔软骨游离移植矫正鼻尖圆钝肥大  

Rhinoplasty of wide and bulbous nasal tip with a piece of septal cartilage as septal extender

作　　者：蹇洪[1] 黎瑞红[2] 谭晓燕[1] 姚建明[1] 

机构地区：[1]杭州整形医院,杭州310014 [2]湖北省十堰市太和医院

出　　处：《中华医学美学美容杂志》2011年第3期165-167,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨以自体鼻中隔软骨移植在鼻尖圆钝螯形术中的应用.方法 取1整块自体鼻中隔软骨片,移植于鼻中隔软骨前端,作为鼻中隔延伸支架,将两侧鼻翼软骨收拢缝合固定于支架上.同时,剪除部分外侧脚近端软骨,修剪鼻尖过多的软组织,以突出鼻尖轮廓.结果 126例,术后随访1年,118例（94%）效果满意,8例因鼻尖皮肤过厚,效果未达到患者满意程度.结论 临床实践证明,所介绍的方法 是治疗鼻尖圆钝肥大的良好可行方法.Objective To evaluate the role of autologous septal cartilage in the rhinoplasty of the wide and bulbous nasal tip. Methods A big piece of autologous nasal septal cartilage was removed and transplanted to the front of nasal septum, acting as a septal extender to fix the nasal alar cartilage,and then the shape of nasal tip was reconstructed by middle crus suture technique, excessive soft tissue under skin of tip and a part of lateral crura cartilage were removed to stand out the shape of the nasal tip. Results After one year follow-up, 118 of 126 cases achieved satisfied effects, but 8 cases dissatisfied because of their undue thick skin. Conclusions This method is reliable in the correction of the wide and bulbous nasal tip.

关 键 词：鼻中隔软骨 鼻尖圆钝肥大 鼻成形术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]