鼻尖整形83例的临床体会

Clinical experience of nasal tip plasty in 83 cases

目的:回顾和总结83例鼻尖整形术的临床经验。方法:根据双侧鼻尖表现点间距不同,在术前将患者分为3型,并有针对性地采用不同的手术技术。我们将改良的软骨雕刻方法和鼻尖部脂肪结缔组织瓣转移的方法与传统的技术(如软骨缝合技术、鼻翼软骨外侧脚头侧部分切除等)巧妙地结合来改善鼻尖的形态。临床应用83例。结果:本组患者随访10～60个月,鼻尖形态改善明显,远期效果稳定,无并发症,满意率达96.4%。结论:本法适用于鼻尖圆钝的患者。

Objective To review and summary the clinical experience of nasal tip plasty in 83 cases.Methods According to the distance between both tip-defining points,we classified the patients into three types and used different techniques accordingly.In order to reshape the tip contours,an innovative cartilage carving method and a tip fibro-fatty tissue flap were designed and combined with traditional techniques,such as suture techniques and cephalic trimming.83 patients were treated.Results The follow-up period ranged from 10 to 60 months.Remarkable improvements in nasal tip contours were achieved.The outcomes remained unchanged over time.No complications appeared in any of the 83 patients.The satisfaction rate is 96.4%.Conclusions Our method was effective and suitable for bulbous nasal tips.