耳甲腔软骨联合膨体聚四氟乙烯矫治短鼻畸形

目的:探究耳甲腔软骨联合膨体聚四氟乙烯(Expanded polytetrafluoroethylene,e-PTFE)矫治短鼻畸形对鼻部外形的影响。方法:以2016年3月-2018年3月笔者医院收治的40例短鼻畸形患者为研究对象。所有患者均利用耳甲腔软骨联合e-PTFE进行手术矫正,术后随访半年。比较治疗前后患者鼻长度、鼻尖突出度、鼻面角、鼻唇角、鼻尖后旋角、随访结果及不同时间满意度。结果:患者术后鼻长度和鼻尖突出度均显著高于手术前,患者术后鼻面角显著高于手术前,鼻唇角和鼻尖后旋角均显著低于手术前,差异均有统计学意义(P<0.05)。40例患者术后6个月手术效果满意度达97.50%,无1例出现假体外露、皮肤破损、感染,1例出现鼻孔不对称,1例出现轻微鼻倾斜,术后第4个月给予矫正;另有1例出现鼻尖轻微肥大。结论:耳甲腔软骨联合e-PTFE可有效改善短鼻畸形患者鼻部外形,患者满意度较高,不良反应少,值得临床推广应用。

Effect of Concha Cartilage Combined with Expanded Polytetrafluoroethylene in the Treatment of Short Nose Deformity

Objective To explore the effect on the nasal appearance in patients with short nasal deformity by using concha cartilage and expanded polytetrafluorethylene.Methods 40 patients with short nasal deformity between March 2016 and March 2018 treated in plastic surgery of our hospital were selected.All patients were treated with concha cartilage combined with e-PTFE and followed up for half a year.The nasal length,the nose tip,the nose angle,the nasal lip angle,the post-tip rotation angle and the time satisfaction were compared before and after the treatment.Results The nasal length and tip protrusion of patients after operation were significantly higher than those before operation,the nasal facial angle was significantly higher than that before operation,and the nasolabial angle and tip retroversion angle were significantly lower than that before operation,the differences were statistically significant(P<0.05).In 40 patients,the satisfaction rate was 97.50%,and there was no prosthesis exposure,skin damage or infection on 6 months after the operation.One case had asymmetric nostril,one case had slight inclination of nose,and was corrected at the 4th month after operation;another case had slight hypertrophy of nose tip.Conclusion Concha cartilage combined with e-PTFE can effectively improve the nasal shape of patients with short nose deformity.The satisfaction of the patients is high and the adverse reactions are less,so it is worth popularizing and applying in clinic.