自体肋软骨联合假体行综合鼻整形术疗效探讨

The Effect of Autogenous Costal Cartilage Combined with Prosthesis in Comprehensive Rhinoplasty

目的:探讨自体肋软骨联合假体行综合鼻整形术的效果。方法:选择安徽维多利亚整形外科医院整形外科收治的25例行自体肋软骨联合假体综合鼻整形术患者作为研究对象。分析患者手术前后鼻部形态、美学角度改善效果、术后1个月切口愈合程度、术后切口愈合时间、并发症发生情况及患者对鼻外形的满意情况。结果:患者术后切口愈合时间为(9.24±2.35)d;术后1个月切口Ⅰ级愈合率为88.00%(22/25);术后并发症总发生率为4.00%(1/25);术后鼻尖旋转度、鼻尖下小叶饱满度、鼻形、鼻孔直径的满意情况评分分别为(9.35±0.56)分,(8.57±1.34)分,(8.62±1.09)分,(8.93±1.05)分;与术前相比,术后患者鼻尖高度、鼻尖突出度、鼻额角均升高,鼻尖两顶间距离和鼻唇角均降低,差异有统计学意义(P<0.05)。结论:自体肋软骨联合假体行综合鼻整形术能够改善患者鼻部外观形态,提升患者对鼻部外形的满意度,有一定的安全性。

Objective To investigate the effect of autologous costal cartilage combined with prosthesis in comprehensive rhinoplasty.Methods The 25 cases of autogenous costal crtilage combined with prosthesis in rhinoplasty admitted by the plastic surgery department in victoria plastic surgery hospital were selected as the research object.The nasal shape before and after operation,the improvement effect of aesthetic Angle,the degree of wound healing 1 month after operation,the healing time of incision,the incidence of complications and the satisfaction of patients with nasal shape were analyzed.Results The postoperative wound healing time was(9.24±2.35)d.One month after operation,the first grade healing rate of incision was 88.00%(22/25).The total incidence of postoperative complications was 4.00%(1/25).The satisfaction scores of nasal tip rotation,subtip lobule fullness,nasal shape and nostril diameter were(9.35±0.56)points,(8.57±1.34)points,(8.62±1.09)points and(8.93±1.05)points,respectively.Compared with that before surgery,the nasal tip height,nasal tip protrusion and nasal frontal Angle increased,the distance between the nasal tips and the nasal lip Angle decreased,the differences were statistically significant(P<0.05).Conclusion Rhinoplasty with autogenous costal cartilage combined with prosthesis can improve the appearance and shape of patients'nose,and improve the satisfaction of patients with the appearance of the nose,which has certain safety.