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胎儿软骨移植在鼻尖整形修复中的应用
引用本文:王璐,刘林皤,朱莹,陈曼静.胎儿软骨移植在鼻尖整形修复中的应用[J].中国临床康复,2012(5):823-826.
作者姓名:王璐  刘林皤  朱莹  陈曼静
作者单位:郑州大学第一附属医院整形外科,河南省郑州市450052
摘    要:背景:胎儿软骨具有来源丰富、取材和冷存方便、质软、易剪裁、排斥反应小、成活率高等优点被广泛应用于软骨组织修复。目的:观察胎儿软骨移植在鼻尖整形中的临床效果。方法:于2008-01/2011-01利用胎儿软骨移植改善84例鼻尖形态不佳患者的鼻尖形态。结果与结论:84例患者术后切口均愈合良好,无感染,无明显排斥反应,患者无不适及发热症状,无鼻尖部皮肤变薄,鼻尖发红等并发症发生,鼻尖形态自然美观。术后通过鼻尖宽度、鼻尖表现点、鼻尖下叶与鼻小柱形成的后旋角、鼻尖高与鼻长的比例4方面对患者的矫正程度进行品评价,矫正率均达到96%以上,患者均感满意。说明用胎儿软骨移植重塑的鼻尖形态更生动、自然,并发症少,损伤小,排斥反应小。

关 键 词:胎儿软骨  移植  鼻尖整形  鼻美学  鼻尖

Application of fetal cartilage grafts in the reshaping of the nasal tip
Institution:Wang Lu,Liu Lin-bo,Zhu Ying,Chen Min-jing Department of Plastic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China
Abstract:BACKGROUND:The fetal cartilage have the advantages of rich source,soft,easy to cut,low rejection and higher survival rate,so it is widely used in cartilage tissue repair.OBJECTIVE:To investigate clinical effects of fetal cartilage grafts on the reshaping of the nasal tip.METHODS:Eighty-four cases of patients were selected who came to our hospital because of nasal tip deformity between January 2008 and January 2011.Nasal tip deformity was reshaped with fetal cartilage grafts in all patients.RESALTS AND CONCLUSION:Eighty-four patients had good wound healing with no infection,no obvious rejection,no discomfort,no fever,no thinning and red of the nasal tip skin and other complications.The morphology of the nasal tip was natural and beautiful.The nasal tip extent,projection,angle between the lower lob of the nasal tip and columella,the ratio of nasal tip high and nose length were used to evaluate the postoperative effect;the redress rate was above 96%.All patients were satisfied with the results.The morphology of the nasal tip reshaped with fetal cartilage grafts is natural,and beautiful.Fewer symptoms,small injury and low rejection occur.
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