自体颗粒脂肪移植在假体隆鼻术后慢性感染中的应用  

To Explore the Use of Autologous Fat Transplantation in Chronic Infection after Prosthetic Rhinoplasty

作　　者：赵海 杨齐峰 陈雷 吴开泉 ZHAO Hai;YANG Qifeng;CHEN Lei;WU Kaiquan(Chengdu Jiuzhou Huayun Medical Beauty Clinic,Chengdu 610000,Sichuan,China;Department of Medical cosmetology,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,Sichuan,China;Department of Medical Cosmetology,the Third People's Hospital of Yibin,Yibin 644000,Sichuan,China;Foshan Shunde Lecong First Show Time Medical Beauty Clinic,Foshan 528315,Guangdong,China)

机构地区：[1]成都高新九州华昀医疗美容门诊部,四川成都610000 [2]成都中医药大学附属医院医疗美容科,四川成都610000 [3]宜宾市第三人民医院医疗美容科,四川宜宾644000 [4]广东佛山顺德乐从首秀时光医疗美容门诊,广东佛山528315

出　　处：《中国美容医学》2024年第10期77-80,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨假体隆鼻术后发生慢性感染,假体取出后即刻利用自体颗粒脂肪移植填充维持鼻部外观的临床效果。方法:2019年6月-2023年6月笔者医院处理的假体隆鼻术后慢性感染的22例患者为研究对象。将假体完整取出后,假体腔隙进行反复冲洗,创腔内搔刮处理,然后将过滤后的自体颗粒脂肪填充于假体腔隙。观察手术一期愈合率、患者满意度及术后并发症情况。结果:术后随访3~12个月,所有患者均一期愈合,患者术后鼻外观形态满意度100%,无严重并发症发生。结论:脂肪移植治疗隆鼻术后慢性感染是一种可行的治疗方法,可以改善鼻部形态,减轻术后远期增生出现的挛缩等并发症,增加鼻部的美观度,可作为隆鼻术后感染治疗的较好辅助手段。Objective To explore the clinical effect of maintaining the nasal appearance with autologous granule fat transplantation immediately after prosthesis removal during chronic infection after prosthetic rhinoplasty.Methods Twenty-two patients with chronic infection after prosthetic rhinoplasty treated by my hospital from June 2019 to June 2023 were studied.After the complete removal of the prosthesis,the prosthetic cavity was rinsed repeatedly,then the wound chamber was scratched,and then the filtered autologous particle fat graft was transplanted to fill the prosthetic space.Primary operative healing rate,patient satisfaction and postoperative complications were observed.Results After a postoperative follow-up of 3 to 12 months,all patients healed initially,and the patients were 100%satisfied with the postoperative nasal appearance and morphology,and no serious complications occurred.Conclusion Fat transplantation for chronic infection after rhinoplasty is a feasible treatment method to be used as an adjuvant treatment for infection after rhinoplasty.It can improve the nasal morphology,reduce the complications of contractures after long-term hyperplasia,and increase the beauty of the nose,it can be used as a good auxiliary means to treat infection after rhinoplasty.

关 键 词：自体颗粒脂肪 移植 假体隆鼻术 慢性感染 隆鼻术后感染 并发症 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]