中国医疗美容
中國醫療美容
중국의료미용
China Medical Cosmetology
2014年
2期
27-27,22
,共2页
刘旺%许进前%张小敏%高巧芳
劉旺%許進前%張小敏%高巧芳
류왕%허진전%장소민%고교방
耳软骨%鼻成形术%鼻小柱%聚四氟乙烯
耳軟骨%鼻成形術%鼻小柱%聚四氟乙烯
이연골%비성형술%비소주%취사불을희
ear cartilage%rhinoplasty%nasal columella%PTFE
目的：研究并分析耳软骨在隆鼻术中的应用效果。方法：选择2011年3月～2013年10月在我院实施隆鼻术的80患者为研究对象，采用局部麻醉+复合麻醉的麻醉方式后，从其耳后取出耳软骨备用。对于鼻部切口使用双侧鼻翼缘切口、单侧鼻翼缘切口或者双侧鼻翼缘切口延长到鼻小柱基地“V”形切口，将假体置入患者鼻背筋膜间隙之间。结果：本组80例患者中，6例采用双侧鼻翼缘切口、66例采用单侧鼻翼缘切口、8例采用双侧鼻翼缘切口延长到鼻小柱基地“V”形切口；其中2例患者在手术结束后发生软骨轮廓感对1例并发症患者在手术结束后的第6d将耳软骨组织与鼻假体取出，对其余78例患者随访2个月～24个月，无其他并发症，患者对鼻尖形态均满意。结论：将耳软骨应用在隆鼻术中可有效提升术式中患者对鼻尖抬升的满意度，一定程度上降低不良反应发生率，操作简单，取材方便，值得在临床推广应用。
目的：研究併分析耳軟骨在隆鼻術中的應用效果。方法：選擇2011年3月～2013年10月在我院實施隆鼻術的80患者為研究對象，採用跼部痳醉+複閤痳醉的痳醉方式後，從其耳後取齣耳軟骨備用。對于鼻部切口使用雙側鼻翼緣切口、單側鼻翼緣切口或者雙側鼻翼緣切口延長到鼻小柱基地“V”形切口，將假體置入患者鼻揹觔膜間隙之間。結果：本組80例患者中，6例採用雙側鼻翼緣切口、66例採用單側鼻翼緣切口、8例採用雙側鼻翼緣切口延長到鼻小柱基地“V”形切口；其中2例患者在手術結束後髮生軟骨輪廓感對1例併髮癥患者在手術結束後的第6d將耳軟骨組織與鼻假體取齣，對其餘78例患者隨訪2箇月～24箇月，無其他併髮癥，患者對鼻尖形態均滿意。結論：將耳軟骨應用在隆鼻術中可有效提升術式中患者對鼻尖抬升的滿意度，一定程度上降低不良反應髮生率，操作簡單，取材方便，值得在臨床推廣應用。
목적：연구병분석이연골재륭비술중적응용효과。방법：선택2011년3월～2013년10월재아원실시륭비술적80환자위연구대상，채용국부마취+복합마취적마취방식후，종기이후취출이연골비용。대우비부절구사용쌍측비익연절구、단측비익연절구혹자쌍측비익연절구연장도비소주기지“V”형절구，장가체치입환자비배근막간극지간。결과：본조80례환자중，6례채용쌍측비익연절구、66례채용단측비익연절구、8례채용쌍측비익연절구연장도비소주기지“V”형절구；기중2례환자재수술결속후발생연골륜곽감대1례병발증환자재수술결속후적제6d장이연골조직여비가체취출，대기여78례환자수방2개월～24개월，무기타병발증，환자대비첨형태균만의。결론：장이연골응용재륭비술중가유효제승술식중환자대비첨태승적만의도，일정정도상강저불량반응발생솔，조작간단，취재방편，치득재림상추엄응용。
Objective:To study and analyze the effect of auricular cartilage in augmentation rhinoplasty. Method:Selecting 80 patients from March, 2011 to October, 2013 in the hospital with implementation of augmentation rhinoplasty as the research object, using local anesthesia + anesthesia after implementation of auricular cartilage in rhinoplasty. Double side alar limbus incision, unilateral nasal alar limbus incison or double side alar limbus incision prolonging to nasal clumella “V” incision was used for nasal incision, and the prosthesis was put into the dorsal fascia. Results:Among 80 patients, 6 patients had bilateral alar margin incision, 66 cases had unilateral nasal alar margin, 8 cases by bilateral nasal alar margin incision extended to nasal columella base “V” incision; 2 patients had the cartilage silhouette after operation, 1 case had the ear cartilage and nasal prosthesis extraction after 6d at the end of the operation. The remaining 78 patients were followed up for 2~24 months with no other complications. Patients were satisfied with the tip of the nose shape. Conclusion:The application of auricular cartilage in augmentation rhinoplasty can improve the satisfaction degree, and reduce the adverse reaction rate. It has the advantage of easy operation, and of convenience of getting materials. So this method is worthy of popularization and application in clinical use.
