精细构建鼻再造术中软骨支架的效果  

Effect of fine construction of cartilage scaffold in nasal reconstruction

作　　者：徐奕昊 范飞 尤建军 王欢 郑若冰 田乐 Xu Yihao;Fan Fei;You Jianjun;Wang Huan;Zheng Ruobing;Tian Le(Department of Rhino plasty and Reconstructive Surgery Center,Peking Union Medical College Hos-pital,Chinese Academy of Medical Sciences,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院鼻整形与再造中心,100144

出　　处：《中华医学美学美容杂志》2020年第2期123-126,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨精细化构建鼻再造软骨支架的方法.方法2010年1月至2018年12月,中国医学科学院整形外科医院鼻整形与再造中心收治鼻再造患者212例(男115例,女97例,年龄6~59岁,平均28岁.),均采用自体肋软骨精细化构建鼻再造支架.结果212例鼻再造患者均完成手术,其中65例手术5次,66例手术4次,9例手术3次,52例手术6次,20例手术7次,212例患者均至少经历前三期手术完成第1疗程再造,至少每间隔半年再行修整手术.再造方法以额部扩张皮瓣为主192例(90%),上臂皮管20例(10%).手术并发症发生率6%,其中扩张器相关并发症(扩张器破裂4例、扩张器感染2例、扩张器注水壶移位2例)占全部并发症的61.5%,其余为皮瓣远端感染2例、皮瓣蒂部感染1例和术后远期感染2例.均经相应处理后症状缓解.随访6~36个月,患者对术后效果满意.结论根据美容隆鼻软骨支架雕刻理念,精细化软骨支架的结构,效果稳定可靠.Objective To explore the method of constructing nasal cartilage scaffold with fine refinement.Methods From 2010 to 2018,212 patients with nasal reconstruction were admitted to the Center of Rhinoplasty and Reconstructive Surgery Hospital of Chinese Academy of Medical Sci-ences.Results The stent structure of all patients was composed of nasal dorsal graft,nasal alar sup-port graft,nasal columella support graft,shield graft,lateral nasal cartilage support graft,hat graft,etc.Conclusions The reconstructed nose presents a more delicate appearance after the later modifica-tion compared with the traditional simple l-shaped cartilage stent,and the patient satisfaction is high。

关 键 词：鼻 肋软骨 鼻再造术 肋软骨支架 精细化构建 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]