CAJ | 학술논문

目的探讨自体中隔软骨移植,改变鼻短小鼻尖圆钝的外形、延长鼻长度、改善鼻尖外形及鼻唇角.方法松解与塑造鼻翼软骨形后,切取自体鼻中隔软骨行L状移植及帽状移植,并辅以埋线塑形等手段.结果共完成此类手术345例,经6个月至4年术后随访,均获得满意效果.结论采用在鼻中隔下端与鼻翼软骨穹窿部行鼻中隔软骨移植的方法加长鼻长度,疗效可靠,且自体鼻中隔软骨取材方便、损伤小、不易发生感染及排异等并发症,值得推广.
목적 탐토자체중격연골이식,개변비단소비첨원둔적외형、연장비장도、개선비첨외형급비진각.방법 송해여소조비익연골형후,절취자체비중격연골행L상이식급모상이식,병보이매선소형등수단.결과 공완성차류수술345례,경6개월지4년술후수방,균획득만의효과.결론 채용재비중격하단여비익연골궁륭부행비중격연골이식적방법가장비장도,료효가고,차자체비중격연골취재방편、손상소、불역발생감염급배이등병발증,치득추엄.
Objective To employ autologous septal cartilage grafting as a new method of elongating the nose and adjusting the nasolabial angle in order to correct the deformities of short nose and bulbous tip.Methods A set of techniques,including,yet not limited to,releasing and sculpturing of the alar cartilages,harvesting of septal cartilages and carving them into L shape and cap-like shape for transplant,moulding the soft tissue envelop with buried through and through sutures etc.were used to lengthen the nose and modify the tip.Results From 2004 to now,the new technique had been applied to 345 patients with short nose and bulbous tip.Follow-up ranged from 6- 48 months,satisfactory outcomes were obtained.Conclusions The new technique adopted by the author in which autologous septal cartilages are settled to the anterior angle of the nasal septum and between the domes of alar cartilages has been proved to be a viable and reliable way to lengthen the nose.Further advantages of this technique include the easiness of harvesting grafts,minimal injury,rare complications of infection and rejection etc.