自体耳软骨移植在鼻尖成形术中的临床应用分析

Clinical application analysis of auto-ear cartilage graft on the nasorostral region

目的:介绍自体耳软骨移植在鼻尖部美容术中的应用体会。方法:针对外鼻短小,鼻尖低平、肥大圆钝,以及部分假体隆鼻术后效果不佳的病例,在隆鼻时切除鼻翼软骨外侧脚上外侧部,并水平褥式缝合,将内侧脚也行缝合,以缩小鼻小柱宽度及延长鼻小柱;切取自体耳软骨,用以抬高及延长鼻尖。结果:本组25例患者,均随访3～6个月,鼻尖外形、颜色均满意,无假体在鼻尖部和切口处穿孔。供区耳廓外形无改变。结论:自体耳软骨移植鼻成形术其方法较好,效果明显,值得在临床上推广应用。

Objective To introduce the application of auto-ear cartilage grafting in beauty culture on the nasorostral region. Methods Augmentation rhinoplasty was performed on patients with a short nose with a low,flat,blunt break point,or unsatisfactory postoperative result of previous nasal surgery,At the same time the upper lateral part of the nasal ala cartilage was cut to reduce the width and lengthen the nasal columella,and autogenous ear cartilage was grafted to raise and extend the break point. Results Twenty-five cases in this group had been followed up for 3~6months,and the appearance,colour of the nose were satisfactory and no penetration of prosthesis was found in the nasorotral region and incision .In addition,the appearance of the pinna in the donor site had no change. Conclusion Augmentation rhinoplasty with an autogenous ear cartilage graft is good method to improve the nasal contour.It deserves more widespread use.