自行设计双M形自体软骨支架鼻尖成形术的临床效果  

Clinical efficacy of double M-shaped cartilage used in nasal tip cosmetic plasty

作　　者：高俊明 李文鹏 Gao Junming;Li Wen-peng(Hangzhou Huashan Luxeme Medical Cosmetology Hospital,Hangzhou 310016,China)

机构地区：[1]杭州华山连天美医疗美容医院整形外科,310016

出　　处：《中华医学美学美容杂志》2018年第4期231-234,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨自行设计双M形自体软骨支架鼻尖成形术的临床效果。方法2016年12月至2017年5月，杭州华山连天美医疗美容医院进行39例鼻尖成形术。切取鼻中隔软骨及花瓣状耳软骨，将耳软骨均分为两长条后与切取的板状鼻中隔软骨缝合，形成三明治样结构，然后骑跨于鼻中隔软骨尾侧端与两侧下外侧软骨缝合固定，形成第1个M形支架；增加耳软骨在鼻尖处突度后，向两侧下外侧软骨外侧脚翻转并固定，形成第2个M形软骨支架。在鼻尖形成双M形软骨支架，增加鼻尖突度和长度。对于鼻背低平患者，配合柳叶形假体植入。结果39例鼻尖成形术患者，满意36例，2例出现鼻尖轻度偏斜，1例出现轻度鼻中隔偏曲，一侧鼻孔通气受到一定影响。结论双M形自体软骨支架鼻尖成形术是一种创伤小、操作简单、临床效果较好的鼻美容手术方法。Objective To explore the clinical effect of double M-shaped cartilage used in nasal tip cosmetic plasty. Methods From December 2016 to May 2017, nasal fip plasty was performed in 39 patients in Hangzhou Huashan Luyeme Medical Cosmetology Hospital. With the Goodman＇s incision in the columella and nasal vestibule, a big piece of autologous nasal septal cartilage was removed and transplanted to the front of nasal septum. Ear cartilage was trimmed into two strips and sutured with nasal septum cartilage graft. Meanwhile, the sandwich cartilage graft was inserted between the lower lateral cartilages to form the first ＂M＂ shape stent when fixing part of it on the nasal septum. Then the ear cartilage was turned over and fixed with lateral erus of the lower lateral cartilages to form the second ＂M＂ shape stent. Willow-shaped prosthesis was placed into the nasal dorsum. Results A total of 39 cases of nasal tip surgery were performed, including 1 male and 38 females. Ages ranged from 21 to 48 years in this group. The follow-up period was from 1 month to 5 months. 36 patients were satisfied with the efficacy while 2 patients were suffered from the deviation of nasal tip, one pa- tient was suffered from nasal septum deviation. Conclusions The application of double M-shaped cartilage in nasal tip cosmetic plasty is one of ideal rhinoplasty approaches with less wound, simple procedure and good clinical effects.

关 键 词：耳软骨 鼻中隔软骨 双M软骨支架 鼻尖成形术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]