鼻部美学亚单位在硅胶假体和自体耳甲软骨联合隆鼻术中应用  

Application of the nasal sub-unit principles in Autogenous Ear Cartilage Joint Silicone Prosthesis Rhinoplasty

作　　者：费跃[1] 蔡茂季[1] 莫小岚[1] 

机构地区：[1]解放军第98医院美容中心,浙江湖州313000

出　　处：《中国美容医学》2012年第08X期1-2,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:讨论以鼻亚单位原则指导硅胶假体和自体软骨联合隆鼻术。方法:按照美学原则将外鼻划分为鼻背、鼻侧壁、鼻尖、鼻翼、鼻小柱和软组织三角区6个亚单位,根据鼻亚单位整形的结构和功能应用解剖,结合相关鼻的美学参数及受术者要求,判断受术者鼻背与鼻侧壁、鼻尖与软三角区两大外观缺陷,联合应用假体和自体耳软骨对56例患者行隆鼻术。结果:术后3年随访53例手术效果良好,受术者对鼻背与鼻侧壁、鼻尖与软三角区成形满意,无鼻背部假体阶梯状,鼻尖外形较传统方法更为自然。结论:外鼻亚单位原则指导隆鼻术,可形成满意的鼻背及鼻尖外形,并可防止假体外露等并发症出现。Objective To discuss how the nasal sub-unit principles to guide the autogenous ear cartilage joint silicone prosthesis rhinoplasty. Methods The nose were classified into 6-subunites i.e. nasal dorsum, nasal sidewalls, nasal tip, alar, Iobule and soft tissue triangle. According to nasal subunit structure and applied anatomy,with related the parameters associated with the aesthetic index of the nose and requirement of the patient, the combination of prosthesis and autologous cartilage were peformed in 56 patients who were with nasal dorsum and nasal sidewall, tip and soft triangle defects. Results 53 cases were follow-up after three years, the patient was satisfied with the nasal dorsum,sidewall, tip and soft triangle, no nose prosthesis was stepped back, nose shape is better than the traditional method. Conclusion The nasal subunit principle can well-guide the surgery of rhinoplasty, reshape the nose and prevent complications.

关 键 词：亚单位 自体耳甲软骨 硅胶假体 隆鼻术 

分 类 号：R622[医药卫生—整形外科]