摘要
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。
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.
出处
《中国医疗美容》
2014年第2期27-27,22,共2页
China Medical Cosmetology
