硅胶假体隆鼻术的三维CT评估

Appraisal of augmentation rhinoplasty with 3-dimension CT investigation

目的对10例硅胶假体隆鼻术者,采用鼻部CT扫描结合外观检查评估其术后效果,以探讨假体雕刻的重要性。方法对10例3个月前行硅胶假体隆鼻术者,行鼻部CT扫描及三维重建,比较主观上的效果评估和CT评估。结果求术者的主观满意率为60%,但从专业的角度综合评估存在问题的隆鼻术发生率高达90%。结论假体的雕刻直接影响隆鼻术后效果,而雕刻出个性化的假体,可提高手术效果,从而降低并发症的发生。

Objective To appraise results of augmentation rhinoplasty with combination of CT and clinical examination. Methods 10 female patients （average 29 year-old）of augmentation rhinoplasty with longer than 3 months, period of recovery were selected. All of them received cranial CT examination and aesthetic evaluation. Result Although 60% of patients were pleased with their augmentation rhinoplasty, 90% of them existed problems in varied extent, if evaluated by CT-investigation and physical examination. Conclusion modification in Prosthesis had a direct effect on postoperative aesthetic effects. In order to improve outcomes and to lower complications, individual prosthesis were required.