重塑鼻尖上区致密真皮纤维结构矫正鼻头肥大的效果  

Effect of dense dermal fiber structure reconstruction in suprapical region of the nose on correction of nasal hypertrophy

作　　者：周蔚 闫西忠 李淑珂 刘伟 Zhou Wei;Yan Xizhong;Li Shuke;Liu Wei(Department of Plastic Surgery,Zhengzhou Meilai Medical Beauty Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州美莱医疗美容医院整形外科,郑州450000

出　　处：《中华医学美学美容杂志》2021年第2期90-93,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨重塑鼻尖上区致密真皮纤维结构矫正鼻头肥大的效果.方法2016年9月至2018年2月,于郑州美莱医疗美容医院整形外科伴鼻头肥大行肋软骨综合鼻整形术患者57例,男1例,女56例,年龄18~53(29±6)岁.术中对鼻尖上区致密真皮纤维结构用水平划痕重塑,行鼻头表现点处真皮深层内缝线固定的方法.术后随访12个月,观察鼻尖上区有无拱形及鼻尖向上移位.结果57例患者术后均一期愈合,患者对手术效果均满意,近远期无明显变化.其中1例女性出现鼻尖上移,其余56例患者均无鼻尖上移及上转折区拱起.结论重塑鼻尖上区致密真皮纤维结构使鼻头肥大患者术后鼻尖上区过渡自然、形态优美、鼻头结构稳定.Objective To evaluate the clinical effect of remodeling the dense dermal fiber structure in the suprapical region on the correction of nasal hypertrophy.Methods A retrospective analysis was carried out in beauty-seeking patients who underwent comprehensive costal cartilage rhinoplasty with nasal hypertrophy in our hospital from September 2016 to February 2018.The technique of horizontal scratch reconstruction and deep dermal suture fixation at the tip of the nose was used to fix the dense fibrous dermal fiber structure in the suprapical area.Photos were followed up 12 months after the operation to observe whether the suprapical area had arch and upward displacement of the nasal tip.Results All patients healed primarily,and the patients were satisfied with the effects.Follow-up results showed that only one female patient showed upshift of nasal tip after surgery among the 57 patients with hypertrophy of nasal tip for beauty.The remaining 56 patients had no upward movement of the nose tip and arching of the upper turning area.Conclusions By reshaping the dense dermal fiber structure of the suprapical area,the suprapical area of the patients who seek beauty after the operation will have a natural transition,beautiful shape and stable nasal structure.

关 键 词：鼻 鼻整形 肋软骨 鼻尖成形 鼻头肥大 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]