首页|自体鼻中隔软骨联合耳软骨对鼻扁平患者整形效果及安全性分析

自体鼻中隔软骨联合耳软骨对鼻扁平患者整形效果及安全性分析

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目的 分析自体鼻中隔软骨联合耳软骨对鼻扁平患者的整形效果及安全性。方法 选取灵宝市第二人民医院2019 年 10 月至 2021 年 8 月收治的 115 例拟行鼻整形术的鼻扁平患者作为研究对象,根据选择的整形填充材料不同,分为假体填充组(57 例)和自体组织填充组(58 例),假体填充组接受L形硅胶鼻假体植入隆鼻,自体组织填充组接受自体的鼻中隔软骨、耳软骨进行隆鼻,比较两组矫正成功率、整形效果、并发症、整形效果满意度。结果 术后 6 个月,自体组织填充组矫正成功率(96。55%)高于假体填充组(82。46%),差异具有统计学意义(P<0。05);两组鼻部形态较术前均得到改善,与假体填充组对比,自体组织填充组鼻尖角较小,鼻长较长,鼻尖高度较高,差异具有统计学意义(P<0。05);自体组织填充组并发症发生率(3。45%)低于假体填充组(22。81%),差异具有统计学意义(P<0。05);自体组织填充组对鼻头、鼻背、鼻根部的整形效果满意度均高于假体填充组,差异具有统计学意义(P<0。05)。结论 采用自体鼻中隔软骨联合耳软骨进行鼻扁平整形术,具有较高的矫正成功率和整形效果满意度,能改善患者的鼻部形态,并发症较少,安全性较高。
Analysis of the Plastic Effect and Safety of autologous Nasal Septal Cartilage combined with Ear Cartilage in Patients with flat Nasal
Objective To analyze the plastic effect and safety of autologous nasal septal cartilage combined with ear cartilage on patients with flat nasal.Methods A total of 115 patients with flat noses who planned to undergo rhinoplasty at the Second People's Hospital of Lingbao City from October 2019 to August 2021 were selected as the study subjects.According to the different plastic filling materials selected,they were divided into prosthesis filling group(57 cases)and autologous tissue filling group(58 cases).The prosthesis filling group received L-shaped silicone nasal implants for rhinoplasty,while the autologous tissue filling group received autologous nasal septal cartilage and ear cartilage for rhinoplasty.The success rate of correction,plastic effect,complications,and satisfaction with plastic effect were compared between the two groups.Results After 6 months of surgery,the success rate of correction in the autologous tissue filling group(96.55%)was higher than that in the prosthesis filling group(82.46%),and the difference was statistically significant(P<0.05);The nasal morphology of both groups improved compared to before surgery.Compared with the prosthesis filling group,the autologous tissue filling group had a smaller nasal tip angle,longer nasal length,and higher nasal tip height,and the difference was statistically significant(P<0.05);The incidence of complications in the autologous tissue filling group(3.45%)was lower than that in the prosthesis filling group(22.81%),and the difference was statistically significant(P<0.05);The satisfaction of the autologous tissue filling group with the plastic surgery effect on the nose head,nose back,and nose root was higher than that of the prosthesis filling group,and the difference was statistically significant(P<0.05).Conclusion The use of autologous nasal septal cartilage combined with ear cartilage for flat nasal plastic surgery has a high success rate of correction and satisfaction with the plastic effect.It can improve the nasal morphology of patients with fewer complications and higher safety.

ear cartilagenasal septal cartilagerhinoplastynasal morphologyplastic effect

齐海玉、焦志刚、耿华、范兴立

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灵宝市第二人民医院 医美科,河南 三门峡 472500

黄河三门峡医院 皮肤美容整形科,河南 三门峡 472000

黄河三门峡医院 皮肤美容科,河南 三门峡 472000

黄河三门峡医院 皮肤科,河南 三门峡 472000

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耳软骨 鼻中隔软骨 鼻整形 鼻部形态 整形效果

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
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