肋软骨在东方人二期鼻成形的临床应用  

Application of costal cartilage in oriental secondary rhinoplasty

作　　者：王先成[1] 邹盛 孙杨[1] 熊祥[1] 李晓芳[1] Wang Xiancheng;Zou Sheng;Sun Yang;Xiong Xiang;Li Xiaofang(Department of Burns and Plastic Surgery, Xiangya No.2 Hospital, Central South University, Changsha 410011 , China)

机构地区：[1]中南大学湘雅二医院烧伤整形外科,长沙410011

出　　处：《中华医学美学美容杂志》2018年第3期166-169,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨自体肋软骨在东方人二期鼻整形的临床应用及效果。方法2012年1月至2016年12月，中南大学湘雅二医院烧伤整形外科使用肋软骨行二期鼻整形美容就医者50例，其中34例曾用硅胶行鼻整形，5例使用膨体。把肋软骨雕刻成各种移植物结合鼻整形技术达到鼻功能和美学上修复。结果43例（86％）美容就医者对术后鼻外形满意，1例出现感染，2例肋软骨轻度弯曲，1例形态欠满意，2例肋骨供区瘢痕增生，未见气胸和胸壁畸形。结论肋软骨是二期鼻整形中良好的移植材料，可提供有力支撑，达到重塑美感鼻子的目的。Objective To introduce the experience of using costal cartilage in oriental secondary rhinoplasty. Methods From January 2012 to December 2016, we used costal cartilage grafts to obtain a functional and aesthetic reconstruction, in which silicone was used in 34 previous cases and e-PTFE was used in 5 cases. Results The mean duration of follow-up was 1.5 years, 43 （86%） patients showed high satisfaction with the shape of nose. 1 case of infection and 2 cases of costal cartilage warping occurred. 1 case was somewhat dissatisfactied with outcome. There was no case of chest wall deformity and pneumothorax, but scar on the chest wall at the donor site was observed in 2 cases. Conclusions We have obtained good aesthetic results using costal cartilage grafts which could display sufficient and stable support for the scaffold of nose. We can conclude that costal cartilage is a good material in secondary rhinoplasty, and can be used to reconstruct an aesthetic nose.

关 键 词：自体肋软骨 二期鼻成形 满意度 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]