自体鼻中隔软骨短鼻延长及鼻尖成形术

Autogenous Septal Cartilage to Extend the Nasal Part and Shape Nasal Tip

目的利用自体鼻中隔软骨,对短鼻畸形的患者行鼻部延长及鼻尖成形术,手术易行,在西方国家得到广泛的应用,但西方人与东方人的解剖结构及审美观有所差异,如何使这一手术方法更适合东方人,这是一些整形外科医生探索的目的之一。方法从1998年以来,韩国大邱S-整形医院、LOGOS整形医院、天主教大学医疗病院整形与重建外科的326例短鼻或鼻尖低矮的病人,女298例,男28例。使用鼻孔侧切口入路、鼻小柱切口入路采集鼻中隔软骨,利用中隔软骨延长鼻部长度并利用部分雕刻成形的软骨延长鼻尖部、采用或不采用硅胶假体对鼻梁部充填。结果效果良好,平均鼻部延长5mm,手术时间平均约为1小时50分钟。平均随访3年,未见明显吸收及变形、感染、排异现象。结论利用自体鼻中隔软骨,对短鼻畸形的患者行鼻部延长及鼻尖成形术是个安全有效的方法。

Objective Use autogenous septal cartilage to extend the nasal part and shape nasal tip to the patient with foreshorted nasal deformation. The operation is technically simple and widely used by western countries. But for the difference of anatomic structure and beautiful outlook appreciation, how to make this operation method suit the oriental is a motive of many plastic surgeons. Method Since the year of 1998, this technique was performed in 326 patients, 298 women and 28 men, with the incision of nostril side or columella nasi to get the autogenous septal cartilage, and use it to extend the nasal length. And use some cartilage which has been carved to shape nasal tip. Use or not use the silicon post to fill the back of nose. Result The result is satisfied. The nose part can be extended 5mm in average; The time of operation is about one hour and fifty minutes. Follow-up 3 years in average, we don＇t find absorption, deformation, infection and rejection phenomenon. Conclusion It is an effective and safe method to use autogenous septal cartilage to extend the nasal part and shape nasal tip to the patient with foreshorted nose deformation.