耳软骨在二次隆鼻术及鼻尖成形术中的应用

目的：探索二次隆鼻术及鼻尖成形术的方法。方法：采用鼻小柱“飞鸟”形切口加鼻翼软骨缘切口，切开分离皮肤、皮下组织，显露假体并取出，分离两侧鼻翼软骨及侧鼻软骨等，将取下的耳软骨缝合固定于新雕刻假体的顶部及短壁上，插入鼻背固定，缝合双侧穹窿部鼻翼软骨，缝合切口。结果：自2010年6月～2013年6月对46例不满意隆鼻术行二次隆鼻及鼻尖成形术，获得满意的手术效果。术后鼻尖形态自然、鼻长度延长、高度增加、歪鼻也得到矫正等。结论：用自体耳软骨及硅胶假体行二次隆鼻术及鼻尖整形术，能解决鼻尖不良形态，矫正鼻偏斜、鼻孔外露、增加鼻长度，获得鼻部整体形态自然协调的效果，是一种理想的手术方法。

Application of ear cartilage in second augmentation rhinoplasty and nasal tip plasty

Objective To explore a way of second augmentation rhinoplasty and nasal tip plasty. Methods Nasal tip skin could be sliced off the combined incisions by fly-shaped incision of nasal columella and incision of nasal alar cartilage margin,and then separating the bilateral nasal alar cartilage and lamina dorsi nasi,after that silicon prosthesis was explored and taken out.The taken ear cartilages were fixed on the front end of the new silicon prosthesis.The new silicon prosthesis could be inserted through the incision at the nasal dorsum and fixed. The bilateral nasal alar cartilage were fixed before the closure of the incision. Results All cases get better after enhancing and lengthening nasal tip and correcting silicon prosthesis malposition. Conclusion This method with the combined application of ear cartilage and silicon prosthesis in second augmentation rhinoplasty and nasal tip plasty is one of the good operation for lengthening nasal tip and correcting silicon prosthesis malposition ect,it could be a nose shape ideal.