羟基磷灰石微粒人工骨注入隆鼻的效果

目的探讨利用羟基磷灰石微粒人工骨（partical hydroxylaptite artificial bone, HA）修复鞍鼻的可行性及规范的手术操作；以及隆鼻失误后如何适当取出。方法用眼科剪或骨膜剥离器紧贴鼻骨，由鼻小柱旁切口进入，于鼻背筋膜深层分离隧道，在隧道内置入羟基磷灰石微粒，手法按摩塑形，缝合切口。结果18年HA注入隆鼻15000例，获随访6482例，优良率占94％，差和失败率占6％。结论对于鞍鼻和鼻外形基本正常而苛求尽善尽美者，利用HA注入隆鼻法，可获得满意、长期、稳定的效果，不失为一种可供选用的隆鼻方法。

Application of hydroxyapatite-calcium phosphate in nasal augmentation

Objective To investigate the practicability and maneuverability of applying partical hydroxylaptite artificial bone to rehabilitate saddle nose as well as removing materials from the malposition of nasal implant.Methods We used the incision beside nasal columella and detached atunnel in deep of nasal aponeurosis.Then we put hydroxyapatite into the detached tunnel,at the same time press position of operation from skin to obtain a nice form.At last we sewed up the incision.Results In 15000 cases of nasal implant operations with follow-up within last 18 years,the successful cases were 94 ％,while the failing ones were 6 ％.Conclusions Applying partical hydroxylaptite artificial bone to saddle nose and nasal implant can obtain a satisfactory,long-tcrm and stable result.It can he an optional surgical method in nasal augmentation.