自体耳软骨在鼻尖成形术的临床效果  

Clinical application of autologous auricular cartilage in nasal tip plasty

作　　者：李建兵 宋东明 许炎龙 唐毅 Li Jianbing , Song Dongming ,Xu Yanlong, Tang Yi(Department of Plastic Surgery, Yestar Plastic Surgical Hospital, Shanghai 200051 , China)

机构地区：[1]上海艺星医疗美容医院,200051

出　　处：《中华医学美学美容杂志》2018年第5期335-338,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨耳软骨不同形式搭建在鼻尖成形术的应用及临床效果。方法2014年12月至2017年6月，上海艺星医疗美容医院美容外科对136例美容就医者行鼻尖成形术，用耳甲腔软骨修剪成戟状，单独或联合鼻中隔软骨做扩展移植，耳甲艇软骨穹隆重建，同时行“帽状”或“盾牌”状软骨移植进行鼻尖塑形。结果136例美容就医者手术均成功。术后随访6～24个月，满意119例，占87．5％；11例（耳软骨薄弱者）改善不明显，占8％；6例术后1年鼻尖下降1～2mm，对效果不满意，占4．41％。结论耳甲腔软骨修剪为戟状单独或联合鼻中隔软骨刺作扩展移植物，行耳甲艇软骨穹隆重建比传统方法更能获得满意鼻尖突出度。Objective To observe and discuss the application and clinical effect of different forms of ear cartilage in nasal tip plasty. Methods Auricular cartilage was used to prune it as ＂halberd＂ shape at first, and then the extended transplantation and the cartilage fornix reconstruction were carried out by using single or combined septurn cartilage. Meanwhile, nasal tip plasty was performed by using ＂cap shape＂ or ＂shield shape＂ cartilage grafting. Results 136 patients were followed up for 6 to 24 months after operation. 119 cases were satisfied, accounting for 87.5%, of which 11 cases （ear cartilage weakness） were not improved obviously, accounting for 8 %. However, there were only 6 cases with the unsatisfactory feedback as the nasal tip that was decreased by 1-2 mm one year after the operation, accounting for 4.41%. Conclusions The auricular cartilage is pruned as ＂halberd＂ shape singly or combined with septal cartilage as an extended graft, reconstructing the cartilage fornix in the meantime, which is the way better than the traditional way of making nasal tip plasty to obtain the ideal nasal tip protrusion.

关 键 词：鼻成形术 耳软骨 自体移植物 戟状成形 穹隆重建 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]