鼻小柱支撑移植物在鼻尖整形中作用.docVIP

鼻小柱支撑移植物在鼻尖整形中作用[摘要]目的:探讨鼻小柱支撑移植物在鼻尖整形中的分类、材料组成,作用及使用方法。方法:70例鼻尖整形病人中,均使用鼻小柱支撑移植物,其中使用鼻中隔软骨48例,肋软骨19例,耳甲腔软骨3例;使用漂浮/固定型移植58例,固定型移植4例,延伸型移植18例。结果:除1例出现了鼻尖突出度不足,经二次手术纠正外,余69例鼻尖成形良好,病人对手术效果满意。结论:根据不同情况,选择不同种类,不同材料进行鼻小柱支撑移植是鼻尖整形中一项良好的手术技术。 [关键词]鼻小柱支撑移植物;鼻尖整形 [中图分类号]R622Q813.1 [文献标识码]A[文章编号]1008-6455(2010)09-1292-03 Application of Support Graft of the nasual columella in the oriental nasal plastic WANG Yang1,ZHANG Jun-fei1,NIU Yong-gan2,QIU Shu-lin3 (1.Department of Plastic Surgery,the First Central Hospital of Baoding City,Baoding 071000,Hebei,China. 2.Department of Plastic Surgery,the People’s Hospital of Zhengzhou. 3.Department of Plastic Surgery,the People’s Hospital of Hebei province) Abstract:ObjectiveTo investigate the classification, meterial, effect and application of the Support Graft of the nasual columella in in nasal tip rhinoplasty.Methods70 cases were operated by using the Support Graft of the nasual columella.the cartilage of nasal septum were adopted In 48 cases. costal cartilage were adopted In 19 cases. cavum conchae cartilage were adopted In 3 cases.Results Nasal spot did not be supported effectively in one case, the final effect was increased through subsequent operation.All the other 69 cases operation is successful,all patients were satisfied with the final results.Conclusion The Support Graft of the nasal columella is effective for correction of the deformity of nasal tip. Different method should be chosen based on patient’s situation. Key words: support graft of the nasal columella;nasal tip plasty Anderson[1]提出的鼻尖“三角架”理论是指导鼻尖整形的有力工具:在这个理论中,两个鼻翼软骨的外侧脚各为“三脚架”中的一条腿,两个内侧脚结合在一起,成为另一条腿,鼻尖的前突度、界限及头侧、尾侧旋转可通过调整各个腿来完成。但东方人由于鼻翼软骨发育不良,尤其是内侧脚的发育更差,而且手术的分离会进一步削弱鼻尖的支撑结构,所以,要依据三脚架理论来调整鼻尖,就必须加强或者重建三脚架的结构,鼻小柱支撑移植就是通过将有支撑力的软骨插入鼻翼软骨内侧脚间来加强中间脚架的有力手段。在东方人鼻尖整形中,起着相当重要的作用。 鼻小柱支撑移植有多种使用方式,本文根据对70例病人的使用经验,来探讨各种方式的适应证和材料选择等方面的问题,现报道如下。 1临床资料 本组就医者70例,其中男27例,女43例;年龄18～36岁,平均23.1岁;其中鼻尖低平者47例,鼻尖肥大者6例,鼻尖偏斜者3例,唇裂术后鼻畸形者14例。合并有鼻背隆起不足的52例,驼峰鼻12例,6例