CAJ | 학술논문

目的探讨自体软骨移植在短鼻合并鼻尖圆钝低平的修复中的应用和效果.方法通过外切口进路,取自体鼻中隔软骨或同时取耳廓软骨,必要时另取肋软骨,行鼻中隔延伸移植、鼻软骨小柱条支撑移植、鼻尖结构移植,同时结合鼻尖缝合和软骨、软组织切除技术修复鼻尖.在术前和术后3个月,分别测量鼻长度和鼻尖突出度,然后进行配对t检验的统计学分析.结果应用自体软骨修复审美性短鼻合并鼻尖圆钝低平者31例.术后随访3个月,满意者30例,占96.7％,1例因出现术后双侧鼻孔不对称,而不满意,占3.3％.术前和术后3个月比较,鼻长度差异有统计学意义(P＜0.05),鼻尖突出度差异也有统计学意义(P＜0.05).结论应用自体软骨移植结合鼻尖缝合和切除术,修复短鼻合并鼻尖圆钝低畸形,效果满意.
목적 탐토자체연골이식재단비합병비첨원둔저평적수복중적응용화효과.방법 통과외절구진로,취자체비중격연골혹동시취이곽연골,필요시령취륵연골,행비중격연신이식、비연골소주조지탱이식、비첨결구이식,동시결합비첨봉합화연골、연조직절제기술수복비첨.재술전화술후3개월,분별측량비장도화비첨돌출도,연후진행배대t검험적통계학분석.결과 응용자체연골수복심미성단비합병비첨원둔저평자31례.술후수방3개월,만의자30례,점96.7％,1례인출현술후쌍측비공불대칭,이불만의,점3.3％.술전화술후3개월비교,비장도차이유통계학의의(P＜0.05),비첨돌출도차이야유통계학의의(P＜0.05).결론 응용자체연골이식결합비첨봉합화절제술,수복단비합병비첨원둔저기형,효과만의.
Objective To explore more satisfactory results in correcting the aesthetically short nose combined with low and blunt nasal tip by using autologous cartilage grafts.Methods External rhinoplasty approach was preferred.Nasal septal cartilage and auricular cartilage or rib cartilage of patients were adopted,as necessary,various shapes of grafts were carved,such as septal extention graft,columella strut and shift graft.Then we used these autologous cartilage grafts with suture and removal techniques to correct the aesthetically short nose combined with low and blunt nasal tip.The length of the nose (n-prn) and the projection of nasal tip (sn-prn) were measured before and after the operation.Paired t-test was adopted to evaluate the results.Results Thirty-one patients accepted the nasal tip rhinoplasty with autologous cartilage whose nasal tip was over rotation,blunt and low.All the patients were followed up for 3 months.Thirty patients satisfied with the results,accounting for 96.7 ％ of the total.()ne (3.3 ％) patient dissatisfied with the result because of postoperative asymmetry nostrils.Nose length before and after surgery was significantly different (P＜0.05).Nasal tip projection before and after surgery was also significantly improved (P＜0.05).Conclusions It is an effective method to use autologous cartilage graft for correcting the aesthetically short nose combined with low and blunt na sal tip,with low complications.