一种“软化”隆鼻用硅胶假体的雕刻方法

目的:介绍一种隆鼻硅胶假体的雕刻方法。方法:2009年10月至2012年10月,采用此方法进行硅胶假体雕刻,共完成隆鼻术153例。具体的雕刻方法是将假体两侧连续多处成楔形去除部分硅胶,使侧缘成锯齿状。去除部分的硅胶宽度不超过1mm,锯齿的数量在每侧5～7个。假体的整体外形成L形(短臂较纤细)。结果:随访时间最长3年,1例假体歪斜,二次手术纠正;1例因患者心理不能接受假体的长期置入,要求取出。其余外形均满意,无假体外露、感染及假体排斥反应。结论:应用该方法假体雕刻,减少了硅胶假体的重力性移位及鼻尖皮肤变薄、外露的发生率",软化后"的硅胶取得更符合生理的隆鼻效果。

A shaping technique of softening silicone prosthesis for augmentation rhinoplasty

Objective To introduce effect and reduce complications a method of shaping silicone prosthesis to improve the aesthetic Methods From October 2009 to October 2010, 153 cases were underwent augmentation rhinoplasty. All silicone prosthesis were carved in wedge-shape at the both of sides,which makes it jagged shape. The width of removal part is no more than l mm and the number on each side is 5～7. The prostheses were curved into ＂L＂ shaped. Results Of all cases,the longest follow-up time was up to 3 years.One case was found the deflexion of the prothesis,corrected by secondary operation.1 case didn＇t accept prosthesis,requiring removal.Others cases were satisfied with the appearance,no silicone exposure,infection and rejection occurred. Conclusion The modified method could decrease the rate of silicone exposure,thining skin and displacement resulting from gravity.Nature appearancce were obtained from ＂softening＂ silicone prosthesis.