膨体聚四氟乙烯联合自体肋软骨行鼻整形的效果  

Application of expanded polytetrafluoroethylene combined with autologous costal cartilage in rhinoplasty

作　　者：刘佳 马志兵[1,2] 王金明 黄金龙[1,2] Liu Jia;Ma Zhibing;Wang Jinming;Huang Jinlong(Department of Plastic Surgery,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210000,China)

机构地区：[1]南京中医药大学附属医院,南京210000 [2]江苏省中医院整形外科,南京210000

出　　处：《中华医学美学美容杂志》2022年第5期386-389,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨膨体聚四氟乙烯(E-PTFE)联合自体肋软骨在鼻整形的应用效果。方法 2017年1月至2018年12月, 在江苏省中医院整形外科行E-PTFE联合自体肋软骨鼻综合整形术患者42例, 男5例, 女37例, 年龄18~40岁, 平均28岁。取鼻小柱正中倒V型联合鼻翼软骨下切口, 将肋软骨切成合适的软骨片, 搭建鼻尖支架;根据鼻背需要抬高的程度雕刻膨体, 将其置于鼻背筋膜下, 腹直肌筋膜覆盖鼻端软骨, 缝合关闭切口。结果 42例患者术后鼻外形均明显改善, 鼻部形态良好, 无严重并发症。随访6~12个月, 鼻整形效果满意度评估优良者40例, 占95.2%。结论 E-PTFE联合自体肋软骨可起到抬高鼻背、延伸鼻长度、增加鼻突度作用, 疗效确切、安全性好、远期效果好, 患者满意度高, 值得临床应用。Objective To investigate the effect of expanded polytetrafluoroethylene(E-PTFE)combined with autologous costal cartilage in rhinoplasty.Methods Forty-two patients who underwent rhinoplasty in the form of E-PTFE combined with autologous costal cartilage in the Department of Plastic Surgery,Jiangsu Province Hospital of Chinese Medicine from January 2017 to December 2018 were selected as the research object.The polytetrafluoroethylene combined with autologous costal cartilage was used for rhinoplasty.The dorsal nasal skin was dissected through an inverted"V"type combined with subalar cartilage incision,and then the costal cartilage was cut into appropriate cartilage slices to build the nasal tip stent.According to the degree of elevation of the nasal dorsum,the sculpted E-PTFE was placed under the nasal dorsal fascia.The rectus abdominis fascia covered the apex of the nose,and the incision was closed by suture.Results The nasal appearance of the forty-two patients was significantly improved,with good nasal shape and no serious complications.After 6-12 months of follow-up,40 cases were satisfacted with the effect of the rhinoplasty,accounting for 95.2%.Conclusions The use of polytetrafluoroethylene combined with autologous costal cartilage can effectively raise the dorsum of the nose,extend the length of the nose,project the nasal tip in the rhinoplasty.This procedure is accurate and safe,reach a favorable long-term shape and own high satisfaction,and it thus is worthy of popularization in clinic.

关 键 词：鼻 肋软骨 移植 自体 膨体聚四氟乙烯 鼻整形术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]