自体耳软骨移植79例鼻成形术的临床分析

目的探讨自体耳软骨移植鼻成形术的临床效果。方法针对外鼻短小，鼻尖低平、肥大钝圆。以及部分隆鼻术后效果不佳的国人，在隆鼻的同时切除鼻翼大软骨外侧脚的上外侧部，并水平褥式缝合，将鼻翼大软骨内侧脚缝合，以缩小鼻小柱宽度及延长鼻小柱；切取自体耳软骨，用以抬高及延长鼻尖。结果对本组79例求美者进行了3～18个月的随访，效果稳定，无并发症及继发畸形的发生。结论自体耳软骨移植鼻成形术其方法较好，效果明显，值得在临床上推广应用。

A clinical analysis of 79 cases of rhinoplasty with autogenous ear cartilage graft

Objective To explore a method of augmentation rhinoplasty with autogenous ear cartilage graft. Methods Augmentation rhinoplasty was performed on patients with a short nose with a low, fiat, blunt break point, or unsatisfactory postoperative result of previous nasal surgery. At the same time the upper lateral part of the nasal ala cartilage was cut to reduce the width and lengthen the nasal columella, and autogenous ear cartilage was grafted to raise and extend the break point. Results All 79 cases achieved good results after 3-- 18 months follow up without any complications. Conclusion Augmentation rhinoplasty with an autogenous ear cartilage graft is good method to improve the nasal contour. It deserves more widespread use.