耳软骨整体再造鼻侧软骨可行性研究.docVIP

耳软骨整体再造鼻侧软骨可行性研究[摘要]目的: 以耳软骨为供区,探索整体再造鼻侧软骨的方法。方法:20具(40侧)尸体标本,取下耳软骨40枚,鼻侧软骨40枚。CT扫描后重建三维图像,测量鼻侧软骨各解剖分区的相关数据。设计耳软骨3个供区可整体移植再造同侧鼻侧软骨,测量相关的形态数据。结果:耳软骨3个供区的相关形态数据大于同侧鼻侧软骨的相应数据。结论:耳甲腔、耳屏及两者之间连接的峡部(CVIT区域),三角窝、耳轮及两者的连接部(TFH区域),耳甲艇、耳轮及两者之间的连接部分(CBH区域) 可整体取下,修整后整体再造同侧鼻侧软骨。 [关键词]软骨移植;耳软骨;鼻侧软骨 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)02-0178-03 Total en bloc reconstruction of alar cartilage using ear cartilage LU Jiu-xing,FAN Fei,YAN Yi-ping,WANG Sheng,YOU Jian-jun, ZHANG Zhi-yuan,CHEN Chang-yong (The Nasal Plastic and Aesthetic Center,Plastic Surgery Hospital,Chinese Academy of Medical Sciences, Peking Union Medical College,Beijing 100144,China) Abstract: ObjectiveTo determine whether some donor areas in ear cartilage can be transplanted for reconstruction of the alar cartilage with all its elements (medial crus, junction of the medial and lateral crura, and lateral crus), with the same dimension and en bloc.Methods40 alar cartilages and 40 ear cartilages of 20 cadavers were dissected, scanned by CT, and three-dimensional images were reconstructed. Several measurements were taken in the alar cartilage three-dimensional images, such as distance, thickness, and angle. Then they were compared with the measurements performed in the 3 donor areas in ear cartilage three-dimensional images.ResultsMost measurements in 3 donor areas in the ear cartilages are bigger than the homolateral alar cartilages.ConclusionThis study shows that from the cavum conchae, isthmus, and tragus(CVIT region), the triangular fossa, junction of triangular fossa and helix, and helix(TFH region), the cymba concha, junction of cymba concha and helix, and helix(CBH region) en bloc resection is possible with characteristics of form and dimension similar to those of the homolateral alar cartilage. Key words: cartilage grafting;ear cartilage;en bloc alar cartilage 软骨移植是鼻整形外科手术中的常用方法。Brent首先移植耳甲软骨矫正鞍鼻畸形并取得了满意效果。当所需组织量较少或需重建特定形态时,耳软骨多为首选移植材料。 Anderson认为[1]:两鼻侧软骨(又称“大翼软骨”alar cartilage )的外