凸字形肋软骨移植物矫正鼻翼缘退缩的效果  

Correction of nasal alar rim retraction with a convex-shaped costal cartilage graft

作　　者：江宝华 吴丽丽 Jiang Baohua;Wu Lili(Shanghai Zhiyan Medical Cosmetic Clinic,Shanghai 200001,China)

机构地区：[1]上海知颜医疗美容门诊部,上海200001

出　　处：《中华医学美学美容杂志》2024年第4期392-394,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的观察凸字形肋软骨移植物矫正鼻翼缘退缩的效果。方法2021年8月至2023年6月,上海知颜美容门诊部要求鼻整形的女性患者52例,年龄20~39岁,平均31.2岁。术前轻中度鼻翼退缩12例,中重度鼻翼退缩40例。用设计的凸字形肋软骨移植物,主体部分固定于下外侧软骨外侧脚,突出部分植入鼻翼缘退缩位置皮下隧道,加强外侧脚同时对鼻翼缘提供支撑,观察鼻翼缘退缩和鼻尖夹捏的矫正效果。结果52例患者中1例单侧矫正不足,3例出现鼻翼外扩,其余48例均达到满意效果。随访最长18个月,无明显回缩,鼻翼缘触感良好,鼻尖夹捏显形等问题得到改善。结论凸字形软骨片矫正鼻翼缘退缩,设计灵活、矫正效果稳定,同时可以改善鼻尖夹捏,减少后期回缩。Objective To observe the effect of alar edge retraction of nose corrected by convex-shaped costal cartilage graft.Methods Between Aagust 2021 and 2023 June in this study,52 patients who met the criteria of nasal alar rim retraction were selected,some of them were pinched at the tip of nose;the protruding part was implanted into the subcutaneous tunnel at the retraction position of the nasal alar border to strengthen the lateral foot and provide support for the nasal alar border.Results Among the 52 cases,1 case had insufficient unilateral correction,3 cases had alar expansion,and the rest had satisfactory results.The longest follow-up period was 18 months,the shape of nose tip clamp was improved.Conclusions The convex-shaped cartilage sheet has the advantages of flexible design,stable correction effect,improved pinching of nasal tip and less late retraction.

关 键 词：鼻整形 鼻翼缘退缩 凸字形 静息角 鼻尖夹捏 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]