鼻中隔软骨及耳软骨在鼻尖整形中联合应用.docVIP

鼻中隔软骨及耳软骨在鼻尖整形中联合应用[摘要]目的:探讨鼻中隔软骨及耳软骨在鼻尖整形手术中的联合应用的方法和优点。方法:对56例就医者施行了此项手术,应用自体鼻中隔软骨做鼻中隔延伸移植物,耳软骨做鼻尖移植物,结合各种鼻翼软骨缝合技术进行鼻尖整形。结果:所有鼻外形获得显著改善,鼻尖形态自然、圆润而俊俏,同时无皮肤或粘膜破损、假体外露、感染等并发症的发生,随访3个月～1年,鼻尖形态稳定,效果满意。结论:联合应用鼻中隔软骨及耳软骨进行鼻尖整形的方式,更接近正常鼻解剖结构,更好控制鼻尖形态,更容易获得预期的效果。 [关键词]鼻中隔软骨;耳软骨;鼻尖整形;移植物 [中图分类号]R622[文献标识码]A [文章编号]1008-6455(2010)04-0495-03 The combined application of septal cartilage and auricular cartilage in nasal tip rhinoplasty NI Yun-zhi, WANG Da-tai,FENG Hui-li, HAN Guo-dong,WANG Zhao, HUANG Wen, SONG Xiao-dong, GU Bin, AI Yu-feng (Sichuan Huamei Zixin Medicine Aesthetic Hospital, Chengdu 610041, Sichuan, China) Abstract:ObjectiveTo investigate the method which combined application of septal cartilage and auricular cartilage in nasal tip rhinoplasty.Methods56 patients were operated by using autologous nasal septum cartilage as septum extend graft combined with auricular cartilage as nose tip graft. ResultsAll patients achieved remarkable modifications in nasal contours and achieved natural and beautiful nasal tips, no complications such as prosthesis extrusion, skin or mucosa necrosis and infection developed in any of the 56 patients. After 3 month to 1 year follow-up, the nosal tip remained unchanged,all patients were satisfied with the final results. Conclusion Combined application of septal cartilage and auricular cartilage, the nasal tip is easy to reshap and the nasal anatomy is more closed to normal. Key words: septal cartilage; auricular cartilage; nasal tip rhinoplasty; graft 单纯的隆鼻术已远远达不到现代求美者的需求,随着鼻整形理念的更新和手术技术的发展,现代鼻整形手术理念已经成为国际上最主流的手术方式。在现代的鼻整形中,获得一个漂亮、尖翘的鼻尖成为一个成功鼻整形的金标准[1]。笔者自2008年8月～2009年8月,采用现代的鼻整形技术,联合应用鼻中隔软骨和耳软骨进行鼻尖整形,取的了满意的手术效果。 1临床资料 本组56例,年龄17～38岁;女性51例,男性5例。就医者均为中国南方人,共同的特点是:鼻梁低平,鼻尖圆钝,皮下组织较厚,鼻中隔短小,鼻翼软骨薄弱,鼻骨宽而平。其中10例就医者鼻骨宽大,进行了双侧外侧截骨。隆鼻材料:膨体聚四氟乙烯。鼻尖材料:鼻中隔软骨和耳软骨。 2手术方法 2.1 麻醉方法:静脉复合麻醉+局部麻醉。局麻药配比:1%利多卡因10ml+0.75%布比卡因10ml+地塞米松5mg+1:100 000肾上腺素。 2.2 手术过程 2.2.1 静脉复合麻醉满意后,术区注射局麻药。 2.2.2 采用经典的鼻小柱倒“V”形横行鼻翼软骨下切口。切开后