“双拱”弹性支架与“2+2”支架鼻尖成形术的临床比较  

Clinical Comparison of"Double-arch"Elastic Stent and"2+2"Stent for Nasal Tip Plasty

作　　者：夏志冉 周琮镇 彭栋梁 XIA Zhiran;ZHOU Congzhen;PENG Dongliang(Shanghai QianMei Medical Beauty Clinic,Shanghai 201100,China;Department of Medical Beauty,Hangzhou Yixing Medical Beauty Hospital,Hangzhou 310012,Zhejiang,China;Department of Medical Beauty,Guangzhou Strait Medical Beauty Hospital,GuangZhou 510000,Guangdong,China)

机构地区：[1]上海千美门诊部,上海201100 [2]杭州艺星医疗美容医院医疗美容科,浙江杭州310012 [3]广州海峡医疗美容医院医疗美容科,广东广州510000

出　　处：《中国美容医学》2024年第8期9-13,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:比较“双拱”弹性支架与“2+2”支架在鼻尖成形术中的临床应用效果。方法:回顾性分析2022年1月-2023年8月笔者医院收治的100例行肋软骨综合鼻整形术就医者的临床资料。依据手术方式的不同分为观察组与对照组,各50例。观察组采用“双拱”支架鼻尖成形联合膨体植入鼻部的手术方式,对照组采用“2+2”鼻尖成形联合膨体植入鼻部的手术方式。对比两组手术时长、鼻尖突出度、鼻尖突出率,鼻尖活动度及美学满意度。结果:本组100例就医者均获随访9个月。观察组手术时长较对照组长(P<0.05);观察组鼻尖突出度与对照组比较,差异无统计学意义(P>0.05);观察组鼻尖突出率与对照组比较,差异无统计学意义(P>0.05);观察组9个月的鼻尖活动满意度评分均高于对照组(P<0.05)。结论:“双拱”弹性支架鼻尖成形术是一种模拟鼻尖解剖结构的手术方式,与主流的鼻尖成形术比较,效果及稳定性可靠,需术者对手术有更细致的把控与更资深的经验,就医者的鼻尖活动度明显提升,是一种值得推广的鼻尖成形术。Objective To compare the effectiveness of"double-arch"elastic stent and"2+2"stent in nasal tip rhinoplasty.Methods The clinical data of 100 patients who underwent comprehensive rhinoplasty of costal cartilage treated in the author's hospital from January 2022 to August 2023 were retrospectively analyzed.According to the operation methods,they were divided into observation group and control group,with 50 patients in each group.The observation group was treated with"double-arch"nose tip shaping combined with e-PTFE.The control group was treated with"2+2"nose tip shaping combined with e-PTFE.The operation duration,nose tip protrusion,nose tip protrusion rate,nose tip mobility and aesthetic satisfaction were compared between the two groups.Results 100 patients were followed up for 9 months.The operation time in observation group was longer than that in control group(P<0.05).There was no significant difference in nasal tip prominence between the observation group and the control group(P>0.05).There was no significant difference in the nasal tip protrusion rate between the observation group and the control group(P>0.05).The satisfaction scores of nasal tip activity in observation group at 9 months were higher than those in control group(P<0.05).Conclusion"Double-arch"elastic stent rhinoplasty is a surgical method to simulate the anatomical structure of nasal tip.Compared with the mainstream rhinoplasty,it has reliable effect and stability.The operator has more detailed control and more experienced experience in the operation,and the nasal tip mobility of patients is obviously improved.Therefore,the nasal tip rhinoplasty is worthy of popularization.

关 键 词：鼻尖成形 鼻整形术 肋软骨皮质 “双拱”弹性支架 鼻翼软骨 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]