CAJ | 학술논문

目的探讨以整块自体肋软骨片移植矫治鼻孔外翻及鼻端延长术的治疗效果.方法切取一整块自体肋软骨,削薄成片状,移植于鼻中隔前端,延长鼻中隔,将鼻端前移以修复鼻孔外露,增加鼻长,伴低鼻者同时置入假体隆鼻.结果 56例朝天鼻伴短鼻患者,术后鼻尖平均延长0.75 cm,鼻唇角角度过大及鼻孔外翻矫正达到正常,其中54例(96 ％)手术效果优良,2例不佳,术后随访1年,效果稳定.结论整块自体肋软骨片移植矫正鼻孔外翻及鼻端延长术,效果可靠,满意度高,值得推荐推广.
목적 탐토이정괴자체륵연골편이식교치비공외번급비단연장술적치료효과.방법 절취일정괴자체륵연골,삭박성편상,이식우비중격전단,연장비중격,장비단전이이수복비공외로,증가비장,반저비자동시치입가체륭비.결과 56례조천비반단비환자,술후비첨평균연장0.75 cm,비진각각도과대급비공외번교정체도정상,기중54례(96 ％)수술효과우량,2례불가,술후수방1년,효과은정.결론 정괴자체륵연골편이식교정비공외번급비단연장술,효과가고,만의도고,치득추천추엄.
Objective To discuss the effect of transplanting autogenous rib cartilage in correction of short and upwardly rotated nose.Methods A piece of autogenous rib cartilage was transplanted into the front of nasal septa to lengthen it,leading to the nasal tip moving forwards and correcting the short and upwardly rotated nose.For low nose cases,simultaneous implants was used into the nasal back.Results The nasal tips were prolonged 0.75 cm on average after operation in 56 patients with short and upturned noses.The nasolabial angle and extent of nostril exposure were normal after operation.The operational consequences were fine in 54 patients,while 2 case were not satisfactory.Efficacy was stable during one year follow-up.Conclusions This method is reliable,and it can be recommended in rhinoplasty of patients with short and upwardly rotated nose.