CAJ | 학술논문

目的探讨一种在应用硅胶假体进行隆鼻术时防止假体外露,同时有利于鼻尖与鼻翼成形,并有效增加鼻长的手术方法.方法在16例临床隆鼻手术中,应用翻转大翼软骨瓣辅助硅胶鼻假体置入的方法,术中离断大翼软骨外侧脚,保留内侧脚完整,单端游离大翼软骨至鼻尖,充分松解大翼软骨对鼻尖的牵拉,以便在增高鼻背的同时增加鼻长,并满足个性化鼻尖与鼻翼成形.结果 16例受术者全部Ⅰ期愈合,无感染及假体外露等并发症发生.术后1个月回访,鼻尖高度及鼻长明显增加,鼻形自然,鼻翼立体感不仅未受影响,反而不同程度地得到优化,鼻尖与鼻翼轮廓清晰.结论应用翻转大翼软骨瓣辅助硅胶鼻假体置入的隆鼻方法,可有效防止要求较高隆起鼻梁、鼻尖时造成的假体外露风险,同时有助于实现个性化鼻尖与鼻翼成形.由于软骨瓣取材方便、无需第2术区,软骨瓣血运有保障,不易发生变形和吸收,是提高隆鼻术美容效果的可行方法.
목적 탐토일충재응용규효가체진행륭비술시방지가체외로,동시유리우비첨여비익성형,병유효증가비장적수술방법.방법 재16례림상륭비수술중,응용번전대익연골판보조규효비가체치입적방법,술중리단대익연골외측각,보류내측각완정,단단유리대익연골지비첨,충분송해대익연골대비첨적견랍,이편재증고비배적동시증가비장,병만족개성화비첨여비익성형.결과 16례수술자전부Ⅰ기유합,무감염급가체외로등병발증발생.술후1개월회방,비첨고도급비장명현증가,비형자연,비익입체감불부미수영향,반이불동정도지득도우화,비첨여비익륜곽청석.결론 응용번전대익연골판보조규효비가체치입적륭비방법,가유효방지요구교고륭기비량、비첨시조성적가체외로풍험,동시유조우실현개성화비첨여비익성형.유우연골판취재방편、무수제2술구,연골판혈운유보장,불역발생변형화흡수,시제고륭비술미용효과적가행방법.
Objective To investigate a new method which could not only avoid the extrusion of the silicon implant, but also be benefit for the reconstruction of nasal tip and alar during nasal augmen-tation procedure. Methods Folded lower lateral cartilage flap combined with silicon implant was ap-plied for nasal dorsal augmentation and reconstruction of nasal tip and alar with its unique character at the same time. Results 12 cases were all primary healing, without infection, extrusion of implant and other complications. One month after operation, the projection of nasal tip was increased, which had better delicate and definite shape, natural appearing tip adding contour and height to nasal tip, pleas-ant definition. Conclusions Folded lower lateral cartilage flap combined with silicon implant is an ef-fective method to decrease the incidence of extrusion, when we want to have a little over-projected na-sal tip with prosthesis. It is also helpful for reconstructing the nasal tip and alar with its unique char-acter.