自体肋软骨联合脂肪移植治疗Binder综合征的临床应用研究  

Clinical Observation of Treating Binder Syndrome by Autologous Costicartilage in Combination with Fat Transplantation

作　　者：李帅华[1] 黄泽春[1] 黄润铭 晏丹[1] 张安利[1] 唐红伟[1] 李石峰[1] 肖瑶[1] 

机构地区：[1]湖南省郴州市第一人民医院整形美容科,湖南郴州423000 [2]湖南省长沙市雅礼中学,湖南长沙410007

出　　处：《中国美容医学》2017年第10期2-5,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨采用自体肋软骨联合颗粒脂肪矫正Binder综合征的鼻部畸形和面中部凹陷,术后通过观察鼻部形态变化和鼻腔通气、发音等功能变化,对其效果行综合评价。方法:对8例Binder综合征患者,常规切取第6/7肋软骨,雕刻成长条状、片状、块状和碎颗粒状,用来修复构建鼻小柱、鼻背、侧鼻、鼻翼、鼻中隔等鼻部亚单元结构,并采用自体脂肪和肋软骨颗粒混合物填充塌陷的梨状孔周围、鼻槛和上颌窦凹陷。结果:8例患者均获随访,最长随访5年,对畸形矫正效果和鼻部功能改善均满意。结论:自体肋软骨联合脂肪移植治疗Binder综合征,能较好的矫正鼻畸形和面中部凹陷,还可以不同程度改善鼻腔功能,长期效果稳定。Objective To evaluate the clinical effect of autologous costicartilage in combination with fat transplantation in correcting nasal deformity and middle facial depression in Binder syndrome patients by observing postoperative morphologic change, nasal cavity ventilation and articulation, etc. Methods 8 patients diagnosed with Binder syndrome were recruited. Autologous graft was obtained from the 6th and 7th costicartilage and incised into long strip, lamellar, mass and granular shape for reconstruction and repair of nasal columella, dorsum nasi, lateral nose, wing of nose, nasal septum and subunit nasal structures. The mixture of autologous fat and costicartilage granules was utilized for flling the apertura piriformis, nasal sill and maxillary sinus depression. Results All 8 patients were followed up with the maximal duration of 5 years. All cases were satisfed with the cosmetic effect of deformity correction and improvement of nasal function. Conclusion Autologous costicartilage combined with fat transplantation is effective in the treatment of nasal deformity and middle facial depression. It can improve nasal function to varying degree and yield stable long-term effcacy.

关 键 词：Binder综合征 鼻畸形 面中部凹陷 肋软骨 自体脂肪 

分 类 号：R622[医药卫生—整形外科]