自体软骨移植在隆鼻术中的应用  

Application of autogenous cartilage transplantation in rhinoplasty

作　　者：李芸[1] 田霞[1] 付冰川[1] 勾庆芬[1] 姚翠英[1] 

机构地区：[1]武汉科技大学附属天佑医院整形美容科,武汉430064

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第23期1300-1302,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨自体软骨移植填充鼻尖在隆鼻术中的应用。方法：根据受术者鼻尖的形态及软组织厚度，本组119例患者中有57例采用自体耳软骨移植联合“L”形人工假体行鼻成形术，33例采用鼻翼软骨移植联合“L”形人工假体行鼻成形术，29例采用鼻中隔软骨移植联合柳叶形人工假体行鼻成形术。结果：所有患者术后鼻部美学效果均明显改善，其中64例随访3～12个月，鼻部形态良好，医患双方满意。结论：根据受术者鼻尖不同情况选择不同的自体软骨移植填充鼻尖联合假体植入行鼻成形术，组织相容性好，有效重塑鼻尖外形，鼻部整体形态符合美学效果。Objective： To investigate the application of autogenous cartilage transplantation in rhinoplasty. Method：We chose three kinds of treatment according to the shape of nasal tip and thickness of local soft tissue. Autogenous auricular cartilage transplantation combined with ＂I.＂ type artificial prosthesis rhinoplasty was execu ted in 57 cases. Nasal Mar cartilage transplantation combined with ＂L＂ type artificial prosthesis rhinoplasty was executed in 33 cases and septal artilage transplantation combined with ＂willow leaf＂ type artificial prosthesis rhino- plasty was executed in 29 cases. Resuit：Improved nasal aesthetic effects were observed after operation in all of 1 l 9 cases, 64 cases were follow-up visited for 3 to 12 months. Both surgeons and patients were satisfied with the nasal shape. Conclusion： Autogenous cartilage transplantation combining with artificial prosthesis rhinoplasty could cffec tively rebuild the nasorostral shape. We chose different kinds of cartilage according to the nasorostral condition. We can ensure that the whole nasal shape according to aesthetic reoqirement

关 键 词：隆鼻术 耳软骨 鼻翼软骨 鼻中隔软骨 鼻尖成形术 

分 类 号：R765[医药卫生—耳鼻咽喉科]