自体耳软骨在鼻畸形修复中应用.pdfVIP

图7D: 隆鼻+鼻头缩小+鼻小柱延长+耳软骨垫鼻尖+驼峰鼻矫正术后2个月侧位 自体耳软骨在鼻畸形修复中的应用 陈亮 第三军医大学西南医院整形外科 【摘 要】 目的 应用自体耳软骨修复多种鼻部畸形，评价其治疗效果。 方 法 2010 年 10 月－2011 年 6 月， 应用自体耳软骨修复鼻畸形患者 20 例，其中鼻小柱短者 8 例，鼻翼塌陷伴鼻基底凹陷者 7 例，鼻梁低平者 5 例。 根据鼻畸形的不同情况术中切取相应大小耳甲腔软骨，根据情况分别植入到鼻小柱、鼻翼游离缘，起到支撑及延 长的作用，填充到鼻基底改善鼻基底凹陷，垫在鼻尖部改善鼻尖外观。结果 应用自体耳甲腔软骨改善鼻畸形行 置0 之有效，术后鼻畸形明显得到改善，对于鼻尖皮肤薄的患者应用自体耳软骨填充鼻尖避免了皮肤变红、破溃的风 险。术后 20 例获随访，随访时间半年至一年满意率达 96%。 结论 应用自体耳软骨修复多种鼻畸形取材容易， 操作简单，并发症少，行之有效。 【关键词】 鼻畸形 鼻翼塌陷 鼻基底凹陷 耳软骨 The Application of Ear Cartilage in Surgery of The Nasal Deformity LI Xiaoge,LI Shirong,Chen Liang Department of Plastic Surgery Southwest Hospital,the Third Military Medical University ,Chong Qing,400038,China. Corresponding author: LI Shirong 【Abstract】 Objective To evaluate the operative methods and therapeutic effects of the application of ear cartilage in surgery of the nose .Methods From october 2009 to June 2010, 20 cases of nasal deformity . According to the different circumstances of nasal deformity cut the appropriate size of the ear cartilage in ear cavity, implant into the lateral free margin of nose to support it ；implant into columella or tip of the nose to improve the shape of the nasal tip .The results of application autologous ear cartilage improved nasal deformity ,and there were few postoperative complications, postoperative nasal tip rhinoplasty thinning of the skin and redness of the issues have been improved, 20 cases were followed up for six months to one year,The satisfaction rate was 96%. Conclusion Using autologous ear cartilage to repair nasal deformities is a easy and ideal operation style. 【Key words】 Nasal deformities ;Alar collapse ; Ear cartilage;Silicone prosthesis