综合鼻整形术中自体耳软骨对鼻头支撑重塑的应用研究  

Applied Research on Remodeling the Nasal Tip with Autogenous Ear Cartilage in Synthetic Rhinoplasty

作　　者：叶丽萍 赵天兰[2] YE Li-ping1, ZHAO Tian-lan2(1.Department of Plastic and Aesthetic Surgery,Danyang Shuguang Hospital of Traditional Chinese and Western Medicine,Danyang 212300, Jiangsu,China;2.Department of Plastic and Aesthetic Surgery,the Second Affiliated Hospital to Suzhou University,Suzhou 215004,Jiangsu,Chin)

机构地区：[1]丹阳曙光中西医结合医院整形美容外科,江苏丹阳212300 [2]苏州大学附属第二医院整形美容外科,江苏苏州215004

出　　处：《中国美容医学》2018年第7期1-3,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨综合鼻整形术中采用耳软骨重塑鼻头支架结构,达到延长或抬高鼻头,获得鼻外形整体改善的良好美学效果。方法:对笔者医院2015年6月-2017年6月收治的635例要求行鼻综合整形的就医者为研究对象,采取自体单侧耳软骨,根据鼻部具体矫治所需进行雕刻塑形后,进行鼻头支架结构的重塑;同时,结合柳叶形假体对鼻部实施隆鼻术,综合手段整体塑造美学形态良好的鼻部外观。结果:本组635例就医者,术后随访3个月~2年,总体满意度较高,鼻外形美观自然。术后并发感染1例,鼻部明显歪斜1例及鼻尖过长2例,处理后获良好效果。供区愈合良好,耳廓外形无明显改变。结论:采用自体耳软骨对于有缺陷的鼻头部支架结构进行重塑,可达到最符合美学解剖特点的缺陷矫治效果,基于此基础同时行鼻假体隆鼻,最终获得了相对完美的全鼻美学形态。Objective To discuss and summarize the good aesthetic effect of remodeling the nasal tip with autogenous ear cartilage in synthetic rhinoplasty. Methods 635 patients who required comprehensive rhinoplasty in our hospital form June 2015 to June 2017 were selected as research subjects. The patients were treated with synthetic rhinoplasty. The fist,they were remodeled the nasal tip by unilateral autogenous ear cartilage implantation. Meanwhile, prosthesis augmentation rhinoplasty were accepted. And then, they were adjusted the nosewings. Results All 635 patients were followed up for 3 months to 2 years, most of all cases were satisfied with the cosmetic effect, the nose looks beautiful and natural. One patient was occurred postoperative infection after 2 months, One patient＇s nose was obviously skewed and two cases with nasal tip too long were all adjusted and corrected for 6 months after the surgery, and finally achieved good results. The area healed were well and the auricle shapes were not changed significantly. Conclusion It can achieve good correction effects of the most suitable for the aesthetic anatomical features using autogenous ear cartilage to reshape the framework of defective nose, and combined with the nasal prosthesis rhinoplasty, eventually obtaining relatively perfect aesthetic nose.

关 键 词：综合鼻整形 自体耳软骨 鼻头 重塑 假体隆鼻术 

分 类 号：R622[医药卫生—整形外科]