CAJ | 학술논문

目的：探讨自体真皮瓣游离移植结合多种材料在隆鼻手术中的应用。方法2014年1月至2015年1月，根据患者鼻部的情况，对31例隆鼻患者采取自体真皮瓣结合硅胶假体、耳甲腔软骨综合隆鼻，并观察临床效果。结果本组患者术后真皮成活良好，鼻部外形自然、满意。随访6～12个月，除1例术后并发感染，经积极抗炎治疗有效，其余患者无并发症产生。结论自体真皮瓣结合硅胶假体、耳甲腔软骨等综合隆鼻，可降低假体外露等并发症的发生率，术后鼻部外形自然，效果良好。
목적：탐토자체진피판유리이식결합다충재료재륭비수술중적응용。방법2014년1월지2015년1월，근거환자비부적정황，대31례륭비환자채취자체진피판결합규효가체、이갑강연골종합륭비，병관찰림상효과。결과본조환자술후진피성활량호，비부외형자연、만의。수방6～12개월，제1례술후병발감염，경적겁항염치료유효，기여환자무병발증산생。결론자체진피판결합규효가체、이갑강연골등종합륭비，가강저가체외로등병발증적발생솔，술후비부외형자연，효과량호。
Objective To explore the application of autologus dermis flap combining with other materials in rhinoplasty. Methods From January 2014 to January 2015, according to the condition of the patient’s nasal, 31 cases received rhinoplasty using autologous dermis flap combining with silicon prosthesis and auricle cartilage, and the clinical effects were observed. Results The dermis flaps were survived in all the cases. Satisfactory and natural nasal shape was obtained. All the patients were followed up for 6 months to 1 year. Only 1 patient got infection after surgery and healed after anti-inflammatory. The other patients were satisfied with the outcomes without complication. Conclusion Autologous dermis flap combining with silicon prosthesis and auricle cartilage for rhinoplasty can reduce the incidence of complications, like prosthesis exposure, and achieve natural nasal shape.