耳软骨在鼻部美容成形术中的应用

Application of ear cartilage in reconstruction of domal graft in nasal tip rhinoplasty

目的探讨耳软骨在鼻部美容成形术中的不同形式应用及临床效果。方法2009年10月至2015年5月，对286例美容就医者进行了鼻尖成形术，通过应用耳甲艇和耳甲腔软骨做成各种鼻尖移植物和穹窿重建移植物进行鼻尖塑形。结果286例美容就医者术后随访3个月至5年，其中245例（85．7％）获得了预期的鼻尖轮廓，鼻尖的外形稳定，1年后鼻尖下降1～2mm。10例1年后出现鼻尖部皮肤变薄，89例鼻尖下移；31例由于没有处理鼻中隔偏曲，而出现了鼻小柱偏斜，鼻孔左右不对称。结论采用耳软骨做成不同的鼻尖移植物和穹窿重建移植物用于鼻尖整形，均可获得满意的临床效果。

Objective To investigate the application of auricular cartilage in nasal plastic surgery and its clinical effects of the different tip graft and reconstructed domal graft （RDG）. Methods From October 2009 to May 2015, the surgical procedure was performed on 286 patients, through the application of cymba and conchae cartilages into various tip graft and RDG in nasal tip plasty. Results A total of 286 patients were followed up post-operatively for 3 months to 5 years, 245 patients （85.7 % achieved expected stability tip, the tip down to 1-2 mm after one year. Tip skin thinning was observed in 10 patients after one year, nasal tip down occurred in 89 patients; the columella skew and asymmetric nostrils occurred in 31 patients. Conclusions The ear cartilage can be made into various tip graft for rhinoplasty, with satisfactory clinical outcomes.