鼻成形术中部分自体肋软骨填充鼻尖对鼻尖部肥大/外形不佳的改善  

Improvement of nasal tip hypertrophy / poor appearance by rhinoplasty with autogenous costal cartilage filled with nasal tip in rhinoplasty

作　　者：郭媛[1] 刘翔宇[1] 舒茂国[1] 张军[1] 苏欣[1] 李婷[1] GUO Yuan;LIU Xiangyu;SHU Maoguo;ZHANG Jun;SU Xin;LI Ting(Department of Plastic and Maxillofacial Surgery, The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院整形美容颌面外科

出　　处：《西部医学》2019年第6期944-948,共5页Medical Journal of West China

基　　金：陕西省自然科学基金面上项目(2015JM8467)

摘　　要：目的探讨鼻成形术中部分自体肋软骨填充鼻尖对鼻尖部肥大/外形不佳的改善作用.方法选取2014年9月~2017年10月期间本院收治的鼻尖部肥大/外形不佳患者88例进行研究,采用回顾性分析法分析所有患者的临床资料,根据随访资料中鼻成形术中所选材料不同将其分为对照组42例,治疗组46例.对照组采用膨体假体填充进行鼻尖部整形,治疗组采用自体肋软骨移植填充术进行鼻尖部整形.治疗结束后,对两组患者手术时间、肥大鼻尖部外形的改善效果及并发症发生情况进行比较分析.结果治疗组手术耗时、术后矫正效果明显优于对照组,比较差异具有统计学意义(P<0.05);两组患者术后鼻尖高度比较无明显差异(P>0.05);两组患者术后鼻尖宽、鼻尖角、后旋角、表现点、鼻背高度满意度比较无明显差异(P>0.05);随访期间治疗组并发症发生率为2.17%,对照组为14.29%,治疗组并发症发生率明显低于对照组,比较具有统计学差异(P<0.05).结论鼻成形术中采用自体肋软骨填充鼻尖能够改善鼻尖肥大、鼻尖部外形,术后效果良好,且并发症发生率低,在临床上具有推广价值.Objective To investigate the nasal tip hypertrophy/poor appearance by rhinoplasty with autogenous costal cartilage filled with nasal tip in rhinoplasty. Methods The clinical data and follow-up data of 88 patients with nasorostral hypertrophy admitted to our hospital from September 2014 to October 2017 were retrospectively analyzed. 42 patients in the control group received the bulk material as nasal tip filler, while the 46 patients in the treatment group received the alar cartilage graft. The operative time, shape improvement effect and complications were compared and analyzed. Results The operation time and postoperative correction effect in the treatment group were significantly better than those in the control group(P<0.05). The difference in width of nasal tip, the angle of nose tip, the posterior rotation angle, performance point, satisfaction for the height of nasal dorsum had no significant difference(P>0.05). The incidence of complications in the treatment group was significantly lower than that in the control group, with statistically significant differences(2.17% vs 14.29%;P>0.05). Conclusion The application of the autologous alar cartilage graft for patients with nasorostral hypertrophy has achieved obvious postoperative effect with less complications, which is worthy of promotion.

关 键 词：鼻尖肥大 整形手术 自体肋软骨 整形效果 

分 类 号：R625.1[医药卫生—整形外科]