自体耳软骨鼻尖填充联合硅胶假体在隆鼻术中的应用

Application of autogenous auricular cartilage filling apex nas combined with silicone prosthesis in the augmentation rhinoplasty

目的探讨自体耳甲软骨填充鼻尖联合硅胶假体植入在隆鼻术的应用效果;方法选取2012年12月-2013年10月来本院行隆鼻术的患者26例,年龄22-46岁,平均年龄28岁,取耳甲腔软骨并雕刻成型,并固定在硅胶假体的鼻尖部,置于鼻背筋膜下,达到隆鼻的效果;结果 25例患者术后效果满意,其中1例患者术后出现假体偏移,1月后自行恢复,随访6个月-2年,没有出现假体下滑、外露、外移等并发症的发生,总体效果较好;结论自体耳软骨鼻尖填充,增加了鼻尖部自体组织的厚度,从而减少了单独假体植入时出现的下滑、外露等并发症的发生率,是一种安全有效的临床手术方法。

0bjective To explore the application of autogenous auricular cartilage filling apex nas combined with silicone prosthesis in the augmentation rhinoplasty; Methods From December 2012 to October 2013,,26 patients underwent the augmentation rhinoplasty in our hospital,age is 22-46 years old, The average age is 28 years old. Suitable size of auricular cartilages carved to some shape were covered nasal tip of silica gel implant,then inserted under fascia of bridge of the nose to carry out augmentation rhinoplasty. Results 25 patients who achieved better results, and one patient discovered malposition of implant and Spontaneous recoveried after one mouth. All the cases were followed from 6 months to 2 years without slipping implant and malposition of implant. Conclusion The method of augmentation rhinoplasty using auricular cartilage in con-junction with silica gel implant can increase the thickness of autologous tissue in nasal tip, therefore, complications such as slipping implant and revealing implant were decreased.So I think this method is safe and effective.