自体肋软骨移植在鼻整形手术中的应用

Application of Autologous Rib Cartilage Transplantation in Rhinoplasty

目的:观察自体肋软骨移植对鼻整形手术创面愈合、并发症及美学效果的影响。方法:回顾性分析笔者医院2018年1月-2022年12月收治的300例鼻整形手术就医者临床资料,就医者资料完整,根据治疗方法不同将就医者分为对照组和观察组,各组150例,对照组就医者鼻整形手术中以硅胶或聚四氟乙烯膨体作为鼻背填充,而观察组就医者在鼻整形手术中以自体肋软骨作为鼻背填充。比较两组手术成功率、术后并发症率、创面愈合时间以及住院时间、术前及术后就医者鼻尖突出度、鼻部塑形效果(鼻尖、鼻尖饱满度以及鼻形、鼻孔直径)评分、出院时及术后3个月、术后1年就医者满意率情况。结果:观察组与对照组手术成功率均为100.00%,差异无统计学意义(P>0.05);观察组就医者术后并发症率低于对照组(P<0.05);观察组就医者创面愈合时间以及住院时间均比对照组短(P<0.05);术前各组就医者鼻尖突出度比较,差异无统计学意义(P>0.05);术后各组就医者鼻尖突出度均提升,且观察组高于对照组(P<0.05);观察组鼻部塑形效果(鼻尖、鼻尖饱满度以及鼻形、鼻孔直径)评分均高于对照组(P<0.05);观察组出院时及术后3个月、术后1年满意率均高于对照组(P<0.05)。结论:自体肋软骨移植在鼻整形手术中应用效果良好,就医者手术成功率高,术后并发症率低,且就医者术后恢复快,创面愈合好,整形效果好,就医者较为认可。

Objective To observe the effect of autologous rib cartilage transplantation on wound healing,complications and cosmetic effect of rhinoplasty.Methods The clinical data of 300 patients with rhinoplastic surgery admitted to the author's hospital from January 2018 to December 2022 were retrospectively analyzed.The patient data were complete,and the patients were divided into control group and observation group according to different treatment methods,with 150 cases in each group.In the control group,silicone or polytetrafluoroethylene swelling was used as nasal back filling during rhinoplastic surgery.In the observation group,autologous rib cartilage was used as nasal back filling during rhinoplasty.The surgical success rate,postoperative complication rate,wound healing time and hospital stay,preoperative and postoperative nasal tip prominence,nasal shape shaping effect(nasal tip,nasal tip fullness,nasal shape and nostril diameter)scores,satisfaction rate at discharge,3 months and 1 year after surgery were compared between the two groups.Results The operation success rate of observation group and control group was 100.00%,there was no statistical significance(P>0.05).The postoperative complication rate of patients in observation group was lower than that in control group(P<0.05).The wound healing time and hospitalization time of patients in observation group were shorter than those in control group(P<0.05).There was no significant difference in nasal tip prominence among all groups before surgery(P>0.05).After surgery,the nasal tip protrusion of all groups was improved,and the observation group was higher than the control group(P<0.05).The scores of nasal shaping effect(nose tip,nose tip fullness,nose shape,nose diameter)in observation group were higher than those in control group(P<0.05).The satisfaction rate of the observation group was higher than that of the control group at discharge,3 months and 1 year after surgery(P<0.05).Conclusion Autologous costal cartilage transplantation has a good effect in rhinoplasty surgery,with a high success rate of surgery,a low rate of postoperative complications,rapid postoperative recovery of patients,good wound healing,and good plastic effect,which is more recognized by patients.