鼻部整形中自体软骨支架雕刻方法研究进展  

Research progress of autogenous cartilage scaffold carving method in rhinoplasty

作　　者：陆思锭 殷国前[1] LU Siding;YIN Guoqian(Department of Plastic and Aesthetic Surgery,First Affiliated Hospital of Guangxi Medical University,Nanning Guangxi,530021,P.R.China)

机构地区：[1]广西医科大学第一附属医院整形美容外科,南宁530021

出　　处：《中国修复重建外科杂志》2021年第4期514-518,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的综述鼻部整形中自体软骨支架雕刻方法研究进展。方法查阅近年国内外有关鼻部整形中自体软骨支架雕刻方法的文献,从不同部位鼻部支架的雕刻技巧、形状及应用范围等方面进行总结分析。结果鼻背部软骨支架仍以柳叶形为主,但在鼻再造时会与鼻小柱支架通过榫卯结构雕刻成L形一体支架,也可将自体软骨粉碎后与自体筋膜组织包裹形成新的鼻背部支架。鼻尖部支架通过改变传统鼻尖软骨帽形状及外加筋膜组织包裹进行改良;鼻翼支架有M形、q形等雕刻方法;鼻小柱与鼻中隔多采用"2+2"联合固定支架。侧鼻及鼻基底软骨支架仍以"八"字形及月牙形雕刻为主。结论自体软骨作为鼻部整形支架时,其雕刻方法多样,随着手术技术不断创新及雕刻技巧不断改进,自体软骨移植物在鼻部整形中的效果也越来越佳;同时,组织工程软骨也逐步应用于鼻部整形中。Objective To summarize the research progress of autogenous cartilage scaffold carving method in rhinoplasty. Methods The relevant literature about the autogenous cartilage scaffold carving methods in rhinoplasty in resent years at home and abroad was reviewed, and the carving skills, shape, and application scope of different parts of nasal scaffolds were summarized and analyzed. Results Willow-leaf shape is still the main method of cartilage scaffold in the back of the nose. However, in nasal reconstruction, it can be carved into an L-shaped scaffold with the nasal columella scaffold through mortise and tenon structure. And it can also crush the autologous cartilage and wrap it with the autologous fascia tissue to form a new nasal dorsal scaffold. The nasal tip scaffold is improved by changing the shape of traditional nasal tip cartilage cap and wrapping with fascia tissue;the nasal alar scaffold has M-shape, q-shape, carving methods;the nasal columella and nasal septum are mostly used "2+2" combined fixed scaffold. The cartilage scaffolds of lateral nose and nasal base are mainly carved in the shape of "八" and crescent. Conclusion As a rhinoplasty scaffold, there are various carving methods for autogenous cartilage. With the innovation of surgical technique and the improvement of sculpting technique, the effect of autologous cartilage graft in rhinoplasty is getting better and better;meanwhile, tissue engineered cartilage is being applied in rhinoplasty.

关 键 词：自体软骨 鼻部整形 支架雕刻 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]