三维扫描评价耳软骨联合硅胶假体隆鼻的临床效果  

Clinical effect of rhinoplasty with ear cartilage and silicone prosthesis:a three-dimensional scanning study

作　　者：王大卫 吴毅平[1] 吴敏 熊诗璇 黄文华[2] 曾宁[1] Wang Dawei;Wu Yiping;Wu Min;Xiong Shixuan;Huang Wenhua;Zeng Ning(Department of Plastic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院整形外科,武汉430030 [2]华中科技大学同济医学院附属同济医院放射科,武汉430030

出　　处：《中华医学美学美容杂志》2021年第2期99-103,共5页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：中国光华科技基金会(2019JZXM001);武汉市科技局应用基础前沿专项(2020020601012241)。

摘　　要：目的用三维(3D)扫描测量患者耳软骨联合硅胶假体隆鼻术前后参数,探讨耳软骨联合硅胶假体隆鼻的手术效果.方法2018年6月至2019年2月,于武汉同济医院整形外科接受耳软骨联合硅胶假体隆鼻女性患者16例,年龄21~35岁,平均28.3岁.分别于手术前及术后行3D扫描测量鼻部线性长度、鼻角度、鼻部比例指数.结果16例患者均对手术效果满意,术后均未发生并发症.鼻长度、鼻高度、鼻深数据,术后较术前有显著增加,鼻宽度及鼻尖宽度术后数据较术前减小.鼻唇角及鼻额角术后数据与术前比较,差异有统计学意义(P<0.05),而鼻面角、鼻尖角、鼻小柱-小叶角术前后比较差异无统计学意义(P>0.05).鼻深/鼻宽、鼻指数、鼻尖突出度术后均改善,而鼻小柱/鼻小叶术后数据与术前差异无统计学意义(P>0.05).结论3D扫描可全面准确地测量鼻部各参数.耳软骨联合硅胶假体隆鼻术改善鼻部整体轮廓效果较好,但在精细改善鼻尖美学效果欠佳.Objective To use three-dimensional(3D)scanning to measure the preoperative and postoperative nasal parameters of the patients received rhinoplasty with ear cartilage and silicone prosthesis,and to evaluate the clinical effect of the surgery.Methods Sixteen female patients with an average age of 28.3 years,ranged from 21 to 35 years,received rhinoplasty with ear cartilage and silicone prosthesis in Wuhan Tongji Hospital from June 2018 to February 2019.Preoperative and postoperative 3D scanning was performed to measure nasal parameters,including linear length,angle,and proportional index.Results All patients were satisfied with the postoperative outcomes.The postoperative nasal length,nasal height,and nasal depth increased significantly,and the postoperative nasal width and nasal tip width decreased.The postoperative nasolabial angle and nasofrontal angle were statistically improved»while the preoperative and postoperative data of columellar facial angle,nasal tip angle,and nasal column-lobular angle were not significantly different.The ratios of nasal depth and nasal width,nasal index and nasal tip protrusion were improved after surgery,while the postoperative ratios of nasal columella and nasal lobules length were not statistically improved.Conclusions The 3D scanning allows for comprehensive and accurate measurement of the nasal parameters.The rhinoplasty with ear cartilage and silicone prosthesis is more effective in improving the overall contour of the nose,but less effective in improving the aesthetics of the nasal tip.

关 键 词：鼻 耳软骨 三维扫描 鼻整形 测量 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]