CAJ | 학술논문

目的根据患者鼻头端的不同解剖特点,将鼻头端肥大分为软组织肥厚型、鼻翼软骨肥厚型、分离型鼻翼软骨、整形不当致鼻头肥大型、复合型鼻头肥大5个类型,提出各型鼻头端肥大的针对性治疗策略.方法 2010年1月至2012年3月,临床治疗92例鼻头端肥大患者,年龄21～46岁,平均29岁.根据不同分型采用不同手术方式,包括注射确炎舒松和手术减薄、鼻翼软骨分区塑形、耳软骨、鼻中隔软骨移植鼻尖成形和(或)鼻延长、鼻孔成形、鼻小柱延长等.结果术后随访3个月至1年,患者鼻头均明显缩小,鼻翼沟重塑后轮廓分明,鼻部各亚单位比例协调,鼻背弧度自然.复诊结合术前、术后照片比较进行满意度评价:92例中优59例,良26例,一般7例.结论根据鼻头端肥大的不同病因,先确定所属解剖类型,再采取相应的治疗策略,才能取得最好的整形美容效果.
목적 근거환자비두단적불동해부특점,장비두단비대분위연조직비후형、비익연골비후형、분리형비익연골、정형불당치비두비대형、복합형비두비대5개류형,제출각형비두단비대적침대성치료책략.방법 2010년1월지2012년3월,림상치료92례비두단비대환자,년령21～46세,평균29세.근거불동분형채용불동수술방식,포괄주사학염서송화수술감박、비익연골분구소형、이연골、비중격연골이식비첨성형화(혹)비연장、비공성형、비소주연장등.결과 술후수방3개월지1년,환자비두균명현축소,비익구중소후륜곽분명,비부각아단위비례협조,비배호도자연.복진결합술전、술후조편비교진행만의도평개:92례중우59례,량26례,일반7례.결론 근거비두단비대적불동병인,선학정소속해부류형,재채취상응적치료책략,재능취득최호적정형미용효과.
Objective To classify the nasal tip hypertrophy according to the anatomic characters,so as to select the proper treatment methods.Methods From Jan.2010 to Mar.2012,92 cases (aged 21-46 years,average 29 years old) with nasal tip hypertrophy were classified as soft tissue hypertrophy,the alar cartilage hypertrophy,separation of alar cartilage,secondary tip hypertrophy after operation,and compound hypertrophy.Treatment methods were selected according to the hypertrophy type,including soft tissue thinning by medicine or operation,alar cartilage trimming and remodeling,autogenous ear and nasal septal cartilage grafts for enlongation or remodeling of nasal tip or columella.Results The follow-up period was 3 months to one year.The nasal tip hypertrophy was corrected obviously with a natural and harmonious appearance.The results were evaluated by patients as perfect in 59 cases,good in 26 cases and medium in 7 cases.Conclusion Satisfactory results can be achieved for the nasal tip hypertrophy with appropriate methods according to the anatomic classification.