鼻中隔软骨联合耳软骨改善鼻尖形态的效果

Clinical effect of nasal septal cartilage combined with auricular cartilage on improving nasal tip shape

目的探讨鼻中隔软骨联合耳软骨作为移植物改善鼻尖形态的手术方法和临床效果.方法2014年4月至2019年6月,北京米扬丽格医疗美容门诊部对622例患者行鼻中隔软骨联合耳软骨重塑鼻尖,其中男28例,女594例,年龄18~42岁,平均27.47岁.用鼻中隔、耳软骨做鼻中隔延伸移植物、撑开移植物、鼻尖移植物,重塑鼻尖形态.结果622例患者手术后鼻外形获得显著改善,鼻尖形态自然、圆润,同时无鼻中隔黏膜破损、假体外露、感染等并发症.随访6个月至6年,除12例患者出现轻度鼻尖下旋,余610例鼻尖形态稳定,均获得满意效果.结论鼻中隔软骨联合耳软骨重塑鼻尖形态可获得满意效果,是一种安全有效的鼻整形方法.

Objective To investigate the surgical method and clinical outcome of using nasal septal cartilage combined with auricular cartilage for management of nasal tip shape.Methods A clinical study was conducted from April 2014 to June 2019,in which we managed nasal tip shape with nasal septal cartilage and auricular cartilage,and these materials were used as septal extension graft,spreader graft and cap graft.In total,622 patients(28 males,594 females;age from 18 to 42 years,mean age 27.47 years)were assessed for eligibility.Results The follow-up period was from 6 months to 6 years.Nasal shape of all 622 patients was improved significantly after the operation.The nasal tip was natural and round,and there were no complications such as damage of nasal septum mucosa,exposure of prosthesis and infection of surgical site.Only 12 patients were found downward rotation of nasal tip,and 610 patients achieved satisfactory aesthetic results.Conclusions Using septal cartilage combined with auricular cartilage is a safe,effective and suitable method for management of nasal tip shape.