自体肋软骨作为部分鼻翼软骨重建移植物改善东方人鼻尖形态的临床观察  

Clinical observation of partial nasal alar cartilage reconstruction for nasal tip contour improvement

作　　者：孔晓 牛永敢 

机构地区：[1]郑东美美医疗美容门诊部,郑州450000

出　　处：《中华整形外科杂志》2017年第6期417-422,共6页Chinese Journal of Plastic Surgery

摘　　要：目的探讨应用自体肋软骨作为部分鼻翼软骨重建移植物改善东方人鼻尖形态的方法和效果。方法应用厚度约0．1cm的自体肋软骨皮质片，重建鼻翼软骨内侧脚、中间脚，改善鼻尖部形态。2014年2月至2016年3月共治疗82例汉族鼻整形受术者。结果82例获平均11．7个月随访，79例术后效果满意，未出现软骨移植物显形、移位及感染；1例（1．1％）鼻尖突出度下降，2例（2．3％）鼻尖上旋，经二次手术修复，效果良好。结论自体肋软骨部分鼻翼软骨重建移植物，符合正常生理解剖结构，且能有效改善东方人鼻尖形态。Objective To observe the effect of partial nasal alar cartilage reconstruction with autogenous costal cartilage for nasal tip contour improvement. Methods From Feb. 2014 to Mar. 2016, 82 Chinese HaM patients received rhinoplasty, including the requirement of nasal tip contour improvement. The cortical slices （0. 1 cm in thickness） were used to augment the medial and middle crus of alar cartilage. Results Eighty-two cases were followed up for 11.7 months in average. One case（ 1.1% ） with tip projection reduction and 2 cases （2.3%） with superior rotation of nasal tip underwent secondary operation with satisfactory result. Good result was achieved in all the other patients with no complication. Conclusions Partial nasal alar cartilage reconstruction with autogenous costal cartilage is effective for improvement of nasal tip contour in Orientals.

关 键 词：软骨 鼻 鼻尖 

分 类 号：R62[医药卫生—整形外科]