自体耳软骨联合硅胶假体鼻尖整形

目的:探讨应用耳软骨加强鼻尖部自体组织的厚度,并与硅胶假体联合置入鼻尖整形的方法。方法:取适当的耳甲腔软骨雕刻成型,附在硅胶假体鼻尖部,置入鼻背筋膜下;鼻尖轻度低平将鼻翼软骨穹窿部及内侧脚拉拢缝合固定,鼻尖严重低平于两侧鼻翼软骨穹窿部"楔状"切断或切除部分软骨,缝合鼻尖软骨缺损处,皮肤切口"V-Y"推进缝合。结果:56例患者,效果良好者50例,改善者6例,术后随访6个月至18个月未出现鼻尖形态异常,无并发症发生。结论:应用耳软骨可加强鼻尖部自体组织厚度,耳软骨联合硅胶假体鼻尖整形术可抬高美化鼻尖,避免假体下滑、移位和外露等并发症的发生,值得临床推广使用。

Reshaping the Nasal tip Using Auricular Cartilage in Conjunction with Silica Gel implant

Objective To investigate the superiority of reshaping the nasal tip using auricular cartilage in conjunction with silica gel implant.Methods Suitable size of auricular cartilage carved to certain shapes were covered nasal tip of silica gel implant,then inserted under fascia of bridge of the nose to carry out reshaping the nasal tip.In low nasal tip inside lateral crus of the alar cartilage must be fixated.In the lower or lowest nasal tip partial resection and suspension of lateral crus of the alar cartilage was performed,and then sewed up the skin cut using the"V-Y"method.Results All patients were followed up and the follow-up duration was 6-18 months.Of them 50 patients were satisfied with the final outcome and 6 patients claimed that the nasal contour had been improved and considered the outcome to be acceptable.No complications occurred so far.Conclusion Reshaping the nasal tip using auricular cartilage in conjunction with silica gel implant can run up and beautify nasal tip,avoid complications such as slipping implant and revealing implant as well.This method could be deserved for clinical spread.