鼻部多边形理论指导肋软骨穹窿重建移植物在鼻尖成形术的效果  

Application of nasal aesthetic polygon theory in reconstruction of new domes by costal cartilage on nasal tip

作　　者：夏正义 王旭 巫文云 赵连前 郑涛 李振 Xia Zhengyi;Wang Xu;Wu Wenyun;Zhao Lianqian;Zheng Tao;Li Zhen(Department of Cosmetic Surgery,Beijing Myoung Beaucare Clinic,Beijing 100016,China;Department of Imaging,Emergency General Hospital,Beijing 100028,China)

机构地区：[1]北京米扬丽格医疗美容门诊部美容外科,北京100016 [2]应急总医院影像科,北京100028

出　　处：《中华医学美学美容杂志》2023年第3期182-185,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨鼻部美学多边形理论指导自体肋软骨穹窿重建移植物在鼻尖成形术的效果。方法 2019年6月至2021年6月, 北京米扬丽格医疗美容门诊部美容外科对116例[男26例、女90例, 年龄20~45(27±7)岁]要求施行鼻尖成形术患者, 用CT辅助检查肋软骨、鼻骨、鼻软骨, 通过自体肋软骨皮质做穹窿重建移植物移植于原大翼软骨位置, 按照鼻部美学多边形理论进行鼻尖塑形。结果 116例患者手术后鼻尖表现点明显, 下小叶饱满, 触摸时鼻尖皮肤柔软不坚硬, 皮肤有明显活动度, 鼻尖可左右摆动, 同时无软骨显形、外露、感染等并发症。随访6~24个月, 除3例患者12个月后出现鼻尖下小叶过于饱满, 5例未处理鼻中隔偏曲出现鼻小柱偏斜, 鼻孔左右不对称外, 其余108例鼻尖形态稳定, 均获得满意效果。结论鼻部美学多边形理论指导自体肋软骨穹窿重建移植物进行鼻尖成形术, 塑造出鼻尖形态更接近正常结构, 且鼻尖形态和质感较帽状和盾牌移植物更接近自然状态, 鼻尖柔软度好, 该方法值得临床应用。Objective To explore the application of nasal aesthetic polygon theory in the recon-struction of new domes on nasal tip with autogenous costal cartilage.Methods From June 2o19 to June 2021,116 patients(26 males and 90 females)received rhinoplasty,CT-assisted examination of the costal cartilage,nasal bone and nasal cartilage was performed,and the autogenous costal cartilagi-nous cortex was used to make dome reconstruction grafts that were transplanted to the original alar cartilage and partially fixed to the original nasal septum cartilage to form a satisfactory and natural na-sal shape.Results All the patients were followed up for 6-24 months.No cartilaginous,overrotated or underrotated appearance was found in nasal tip.The shape of nasal tip was clear and good,with an obvious performance point and full lower lobule.The nose was tall and straight,and looked natural and beautiful in three dimensions.Conclusions The nasal aesthetic polygon theory is used to guide the reconstruction of new domes with autogenous costal cartilage in nasal tip surgery.Compared to the cap and shield grafts,the nasal tip is more close to the normal anatomical structure,the shape and texture are more similiar to the natural state and the nasal tip is softer by using autogenous costal car-tilage,and so it is an ideal surgical procedure for nasal tip reconstruction.

关 键 词：鼻成形术 肋软骨 鼻中隔 穹窿重建 多边形 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]