鼻翼软骨塑形及自体组织移植矫正鼻尖分裂畸形  

To correct the bifid nasal tip with the alar cartilage remodeling and autogenous tissue transplantation

作　　者：朱光辉[1] 卢彬[1] 庞晓纲 张树青[1] 高培培[1] 

机构地区：[1]天津市口腔医院整形美容科,天津300041

出　　处：《中国美容医学》2016年第3期19-20,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探索鼻尖分裂畸形的外科矫正方法。方法:采用双侧鼻孔缘切口,制备皮下结缔组织瓣,将双侧鼻翼软骨内侧脚及穹隆部水平褥式缝合,切除穹隆部突出的软骨,再根据鼻尖畸形情况行自体组织移植,抬高鼻尖。结果:本组4例手术后效果满意。结论:轻度鼻尖分裂畸形,可采用鼻翼软骨内侧脚及穹隆部的水平褥式缝合术;中重度鼻尖分裂畸形,行水平褥式缝合术后,还需进行自体组织移植,增加鼻尖突度。Objective To explore the surgical method for correction of deformity of the bifid nasal tip. Methods Through bilateral rim incision,to make the fibroareolar tissue flap,the medial crura and dome of alar cartilage had horizontal mattress sutured together（As a whole）,nasal tip had elevated with autogenous costal cartilage transplantation or autogenous dermis transplantation. Results In this group,4 cases had harvested satisfactory results after operation. Conclusion The medial crura and dome of alar cartilage horizontal mattress suture could be applied in Mild bifid nasal tip deformity. In moderate and severe deformity of bifid nasal tip,horizontal mattress domal suture combine with autogenous tissue transplantation are necessary method for increasing protrusion of nasal tip.

关 键 词：鼻尖分裂 水平褥式缝合 自体组织移植 鼻尖 

分 类 号：R622[医药卫生—整形外科]