鼻综合整形的方法探讨及效果评价

Approach to comprehensive rhinoplasty and its effect evaluation

目的:探讨鼻综合整形的手术方法并评价其临床效果。方法:根据外鼻形态的具体缺陷情况,同时采用假体隆鼻、鼻头缩小、鼻翼缩小、耳软骨鼻尖延长、鼻小柱延长等多项技术中的二项以上进行鼻整形手术。结果:2007年3月～2010年4月对307例患者采用上述方法行鼻整形术,术后均获明显改善效果。随访6个月～2年,其中1例于半年后发生感染而取出鼻假体,其余就医者对效果均感满意,形态自然,切口瘢痕不明显。结论:鼻综合整形能从全方位改善外鼻不良形态从而增加鼻部整体美感。术中均衡考虑不同部位手术之间的相互影响关系,是把握手术整体成形效果的关键。

Objective To probe into the surgical methods of comprehensive rhinoplasty and evaluate the clinical effect.Methods According to the specific defect of the nose,using two or more technology of nose augmentation,nasal tip reduction,alar narrowing,apex nasi extension,columella nasi extension and so on to operate plastic surgery at the same time.Results 307 cases of comprehensive rhinoplasty were performed by using the above-mentioned method from Mar.2007 to Apr.2010.The effect is obvious and defect has been improved greatly.Duing the follow-up research for 6 months to 2 years,only one patient was infected after six months and the artificial nose had to be removed.The other patients are satisfied with the natural shapes and the inconspicuous scars.Conclusion Comprehensive rhinoplasty can omnidirectionally improve the faulty shape of the nose,and enhance the aesthetic appeal as a whole.Symmetrically considering the relationship among sub-unit operation is the key to grasping ensemble effect of rhinoplasty.