首页|线型肋软骨鼻尖支架在初次综合鼻整形中的应用体会

线型肋软骨鼻尖支架在初次综合鼻整形中的应用体会

扫码查看
目的 探讨线型肋软骨鼻尖支架在初次综合鼻整形中的应用效果。方法 选择2019年6月至2022年6月我院收治的94例女性鼻整形者为研究对象,均为初次鼻整形。切取4~5 cm的第6肋软骨,制作鼻小柱支撑移植物、鼻中隔撑开移植物、鼻翼缘移植物、鼻尖帽状移植物。构建鼻尖软骨支架塑形鼻尖,鼻背应用假体。结果 术后随访时间为6~18个月,平均11个月。90例研究对象对手术效果满意。1例在术后3个月出现鼻背肿胀,经抗生素治疗未愈,取出假体冲洗消炎后痊愈,术后9个月更换假体置入鼻背,未出现不良事件;有3例出现了鼻尖高度的降低、鼻尖的下旋,在术后半年时调整了支架,修复后效果满意。结论 综合鼻整形中采用自体肋软骨构建鼻尖支架能有效改善鼻尖形态,并发症发生率低,安全可靠不排异。
Application experience of linear costal cartilage nasal tip stent in primary comprehensive rhinoplasty
Objective To explore the application effect of linear costal cartilage nasal tip stent in primary comprehensive rhinoplasty.Methods A total of 94 female rhinoplasty admitted in our hospital from June 2019 to June 2022 were selected as the research objects,all of which were primary rhinoplasty.The 6th costal cartilage of 4-5 cm was cut to make nasal columella support graft,nasal septum distraction graft,nasal alar edge graft and nasal tip cap graft.The nasal tip cartilage scaffold was constructed to shape the nasal tip,and the prosthesis was applied to the nasal dorsum.Results The postoperative follow-up time was 6-18 months,with an average of 11 months.Ninty objects were satisfied with the operation result.One case had nasal dorsum swelling at 3 months after operation,which was not cured by antibiotic treatment,while the patient was cured after the prosthesis was taken out,rinsed and anti-inflammatory.The prosthesis was replaced and placed in the nasal dorsum at 9 months after operation,and no adverse events occurred.Three cases had a decrease in the height of the nasal tip and a downward rotation of the nasal tip,the stent was adjusted half a year after operation,and the effect was satisfactory after repair.Conclusion Comprehensive rhinoplasty using autologous costal cartilage to construct a nasal tip stent can effectively improve the shape of the nasal tip,with a low incidence of complications,which is safe,reliable and non-rejection.

costal cartilageautologous transplantationcomprehensive rhinoplasty

陈志雄

展开 >

天津坤如玛丽妇产医院,天津,300202

肋软骨 自体移植 综合鼻整形

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(19)