CAJ | 학술논문

目的为了改变圆钝肥大的鼻尖。方法根据鼻尖的圆钝程度，采用内外一起，综合步骤相结合的方法：即在塑造鼻尖内部软骨形态的同时，修整鼻尖部外覆的皮肤，并辅以机械磨削，人工支架，埋线塑形等手段，以纠正鼻尖的圆钝肥大。结果自1997年以来，本组12例，经4个月～3年术后随访，获得满意效果。结论鼻尖圆钝肥大的治疗难点主要在于鼻尖部过厚过多的皮肤组织，单纯修整鼻尖部的软骨往往收效甚微。因此，在整个治疗过程中鼻下部皮瓣的修整和塑形是手术成功的关键。
목적위료개변원둔비대적비첨。방법근거비첨적원둔정도，채용내외일기，종합보취상결합적방법：즉재소조비첨내부연골형태적동시，수정비첨부외복적피부，병보이궤계마삭，인공지가，매선소형등수단，이규정비첨적원둔비대。결과자1997년이래，본조12례，경4개월～3년술후수방，획득만의효과。결론비첨원둔비대적치료난점주요재우비첨부과후과다적피부조직，단순수정비첨부적연골왕왕수효심미。인차，재정개치료과정중비하부피판적수정화소형시수술성공적관건。
Objective　To improve the rhinoplastic result of the wide and bulbous nasal tip.Methods　According to the degree of the wide and bulbous tip, several procedures were adopted to beautify them.①Thinning of the alar cartilage;②Trimming of the skin of tip;③Mechanical polishing of the tip skin;④Insertion of a septocolumellar support;⑤Narrowing of the base of nose with the clinching suture;⑥Marginal resection of the alae.Results　Since l997, l2 cases of rhinoplasty have been performed with good results. Conclusion　The major difficult factor of rhinoplasty of wide and bulbous nasal tip is that the nasal tip has undue thick skin. Only thinning of the alar catilages is not enough. So the trimming and reconstruetion of the tip skin flap is the key to success in the whole process.