摘要
目的探讨用特殊形状鼻尖软骨支撑结构预防和矫正鼻翼退缩的临床有效性及意义。方法选取2017年1月至2020年1月成都高新心悦容医学美容门诊部要求鼻整形的女性患者34例,年龄20~46岁,平均32.6岁。术前4例鼻翼鼻小柱相对正常,18例有轻度鼻翼退缩,12例有中度鼻翼退缩。用肋软骨制作特殊形状鼻尖支撑结构,由普通支撑结构和固定于支撑结构头端近顶部两侧的楔形移植物组成。术后随访6~18个月,观察矫正效果及患者满意度。结果34例患者中有8例联合用鼻翼缘移植物、2例联合用外侧脚支撑移植物、2例联合用鼻翼缘移植物及外侧脚支撑移植物。34例患者随访6~18个月,30例鼻翼缘退缩患者获完全矫正,4例鼻翼鼻小柱关系正常患者术后未发生鼻翼缘退缩。34例患者均未出现感染、坏死、挛缩、呼吸功能障碍等并发症。患者表示非常满意28例,占82.4%;满意6例,占17.6%;满意率100%。结论鼻尖支撑结构联合头侧楔形移植物组成的特殊形状鼻尖软骨支撑结构在预防和矫正鼻翼退缩中可获得满意的效果。
Objective To investigate the clinical effectiveness and significance of special fixing cartilaginous support structure on nasal tip to prevent and correct alar rim retraction.Methods Special shaped tip extension support structure was composed of two parts of typeⅢof septum extension graft(SEG)and two pieces of wedge graft fixed on either side of the cephalic end near the top of support structure.After the alar cartilage vault was fixed to the nasal tip cartilage support structure,the lower lateral cartilage(LLC)cephalic was fixed to both sides of this nasal tip support structure.The LLC received support from the cartilaginous support structure to counter and correct the lower lateral cartilage cephalic retraction.From January 2017 to January 2020,this surgical procedure was used in 34 patients(aged from 20 to 46 years,with mean 32.6 years)with rhinoplasty who had a nasal tip support structure but still had a space between the LLC and the stent intraoperativly.Preoperativly,4 cases had normal relation of alar columella and alar rim,18 cases had mild alar rim retraction,and 12 cases had moderate alar rim retraction.The patients were followed up for 6 to 18 months to observe the correction effect and patient satisfaction.Results Among the 34 patients,8 patients received alar edge graft,2 patients received lateral foot support graft,and 2 patients received alar rim graft combined with lateral foot support graft.All patients were followed up for 6-18 months,30 patients with alar rim retraction were completely corrected,and 4 patients with normal alar and nasal columella relationship did not have alar rim retraction after surgery.No complications such as infection,necrosis,contracture or respiratory dysfunction were found in all patients.28 cases(82.4%)were very satisfied;6 cases(17.6%)were satisfied;the satisfactory rate was 100%.Conclusions The special shaped nasal tip cartilage support structure combined with typeⅢSEG and its cephalic wedge grafts could achieve satisfactory clinical results in the prevention and
作者
徐航
倪云志
朱莎
杨硕
孟翻
闫娜
郎赟
Xu Hang;Ni Yunzhi;Zhu Sha;Yang Shuo;Meng Fan;Yan Na;Lang Yun(Chengdu Xinyuerong Medical Aesthetic Clinic,Chengdu 610000,China)
出处
《中华医学美学美容杂志》
2023年第2期109-112,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
鼻成形术
鼻翼缘
退缩
矫正
预防
Rhinoplasty
Alar rim
Retraction
Correction
Prevention
