自体耳甲腔软骨移植联合固体硅胶假体植入在隆鼻术中的临床观察  

Clinical observation of autologous concha cartilage transplantation combined with solid silicone prosthesis implantation in augmentation rhinoplasty

作　　者：杨森 孟庆鹏 李艳玲 YANG Sen;MENG Qingpeng;LI Yanling(Department of Cosmetic Surgery,Pingdingshan Yimei Medical Beauty Hospital,Henan Province,467000,China)

机构地区：[1]平顶山市艺美医疗美容医院美容外科,河南平顶山467000

出　　处：《中国医疗美容》2024年第7期40-44,共5页China Medical Cosmetology

摘　　要：目的探讨自体耳甲腔软骨移植联合固体硅胶假体植入在隆鼻术中的临床效果。方法选取2021年1月至2023年12月于平顶山市艺美医疗美容医院美容外科进行隆鼻术的72例患者,根据治疗方法不同分为两组,每组36例。观察组采用自体耳甲腔软骨移植联合固体硅胶假体植入隆鼻术治疗,对照组采用固体硅胶假体植入隆鼻术治疗。比较两组鼻部外观测量参数、满意度及并发症。结果两组患者术后鼻长度、鼻尖突出度长于术前,鼻唇角及鼻尖后旋角小于术前,鼻尖角大于术前,差异有统计学意义(P<0.05);两组患者术后鼻长度、鼻尖突出度、鼻唇角、鼻尖角及鼻尖后旋角比较,差异无统计学意义(P>0.05);观察组患者满意度高于对照组,并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论隆鼻术中采用单纯固体硅胶假体植入与自体耳甲腔软骨移植联合固体硅胶假体植入均可改善鼻部外形,但自体耳甲腔软骨移植联合固体硅胶假体植入可减少并发症的发生,提高患者满意度。Objective To explore the application effect of autologous auricular cartilage transplantation combined with solid silicone prosthesis implantation in rhinoplasty.Methods Seventy two patients who underwent rhinoplasty in the Department of cosmetic surgery,Pingdingshan Yimei medical beauty hospital from January 2021 to December 2023 were selected and divided into two groups based on different treatment methods,with 36 cases in each group.The observation group was treated with autologous auricular cartilage transplantation combined with solid silicone implant for rhinoplasty,while the control group was treated with solid silicone implant for rhinoplasty.Compare the measurement parameters,satisfaction,and complications of nasal appearance between two groups.Results The postoperative nasal length and nasal tip protrusion of the two groups were longer than before surgery,while the nasal lip angle and nasal tip rotation angle were smaller than before surgery,and the nasal tip angle was larger than before surgery,with statistically signifificant differences(P<0.05);There was no statistically signifificant difference in postoperative nasal length,nasal tip protrusion,nasolabial angle,nasal tip angle,and nasal tip retrorotation angle between the two groups(P>0.05);The satisfaction of the observation group was higher than that of the control group,and the total incidence of complications was lower than that of the control group,with statistical signifificance(P<0.05).Conclusions Both simple solid silicone implant and autologous auricular cartilage transplantation combined with solid silicone implant can improve the appearance of the nose during rhinoplasty.However,autologous auricular cartilage transplantation combined with solid silicone implant can reduce the occurrence of complications and improve patient satisfaction.

关 键 词：隆鼻术 自体耳甲腔软骨 固体硅胶假体 满意度 并发症 

分 类 号：R62[医药卫生—整形外科]