摘要
目的探讨应用耳软骨和膨体聚四氟乙烯的综合隆鼻术的原则和效果。方法2018年1月至2020年1月,161例患者(男10例、女151例;年龄19~48岁,平均26岁)在南方医科大学南方医院实施"耳软骨+膨体聚四氟乙烯"隆鼻术,膨体聚四氟乙烯雕刻成柳叶形填充鼻背,取于耳甲艇的软骨制拱桥形行鼻尖部成形。术前和术后12个月测量鼻长、鼻高;鼻深、鼻小柱高;鼻尖宽;鼻额角、鼻唇角。术后1~2年随访进行满意度和并发症调查,统计分析鼻形态学、鼻美学指标。结果161例患者鼻外形均有不同程度的改善,各项形态学指标均改善,差异有统计学意义(P<0.05)。鼻额角达标90例,占55.9%;鼻唇角达标143例,占88.8%。2例出现假体偏斜予手术矫正;1例发生假体排异反应予假体取出。结论根据外鼻解剖学特点的综合隆鼻术,对应鼻支架背面形态进行假体设计制作,对应鼻翼软骨外形用耳甲艇软骨预制拱桥形支架进行鼻尖重塑,能有效地隆高鼻背,改善鼻尖突出度、旋转度,远期支撑力较好,鼻尖柔韧性及活动度近似自然。
Objective To discuss the principle and effect of augmentation rhinoplasty with auricular cartilage and expanded polytetrafluoroethylene.Methods From January 2018 to January 2020,161 patients(10 males and 151 females;aged from 19 to 48 years,with an average of 26 years)underwent"auricular cartilage plus expanded polytetrafluoroethylene"augmentation rhinoplasty in Nanfang Hospital of Southern Medical University.The expended polytetrafluoroethylene was carved into a willow leaf shape(I Shape)to fill the nasal dorsum,and the cartilage taking from cymba concha was constructed into an arched bridge shape for the nasal tip shaping.Pre-operative and 1-year post-operative measurements nasal length,nasal height,nasal depth,nasal columella height,nasal tip width,nasofrontal angle,nasolabial angle,survey of satisfaction and complication rate 1-2 years after operation were taken.The statistical analysis of nasal morphological indicators and nasal aesthetic indicators were employed.Results The nose shape of 161 patients was improved to varying degree.All morphological indicators were improved,and difference was statistically significant(P<0.05).The nasofrontal angle reached the standard in 90 cases,accounting for 55.9%;The nasolabial angle reached the standard in 143 cases,accounting for 88.8%.2 cases had prosthesis(ePTFE)deviation and were corrected by surgical repair;1 case had prosthesis(ePTFE)rejection and was corrected by prosthesis(ePTFE)removal surgery.Conclusions Corresponding to the anatomical characteristics of the external nose,the prosthesis material is designed and made to correspond to the dorsum shape of the nasal stent.The shape of the alar cartilage,the prefabricated arched bridge shape of the cymba concha cartilage are used to reconstruct the nasal tip,which can effectively elevate the nasal dorsum,improve the protruding degree and rotation degree of the nasal tip,and have good long-term support.The flexibility and activity of the nasal tip are similar to the biological nose.
作者
Kosing Vangpaseuth
陈其庆
姜平
曾佳佳
许丹
Kosing Vangpaseuth(Wang Guoqing);Chen Qiqing;Jiang Ping;Zeng Jiajia;Xu Dan(Department of Plastic and Aesthetic Surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中华医学美学美容杂志》
2022年第4期292-295,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
耳软骨
鼻尖成形
膨体聚四氟乙烯
隆鼻
穹隆重建
Ear cartilage
Nasal tip shaping
Polytetrafluoroethylene
Nasal augmentation
Dome reconstruction
