挛缩鼻畸形形成机制分析和治疗研究进展

Progress in mechanism analysis and treatment of contracted nasal deformity

挛缩鼻畸形常发生于亚洲人鼻整形术后,其发生主要与感染、假体包膜挛缩、多次鼻修复手术、患者自身炎症反应及基础状况相关,是严重影响求美者的鼻美学和功能特征的并发症。全面了解挛缩鼻的发病原因、形成机制及修复方式对其预防与治疗具有指导作用。该文针对挛缩鼻的形成原因与产生机制,从鼻腔黏膜、软骨支架和被覆皮肤3个层面入手改善患者挛缩鼻的形态,以及对挛缩鼻被覆皮肤的辅助治疗予以综述。

The contracted nose is a unique entity that follows rhinoplasty in the Asian patient,which is mainly related to infection,graft implant,multiple invasive nasal repair operations,patients’own inflammatory reaction and basic conditions,and is a complication that seriously affects the nasal aesthetics and functional characteristics of patients.Comprehensive understanding of the causes,mechanisms and repair method of contracture nose is helpful for its prevention and treatment.In view of the causes and mechanisms of capsular contracture,this paper reviews the research progress in improving the aesthetic and functional characteristics of patients from the three levels of nasal mucosa,cartilage scaffold and skin,as well as the adjuvant treatment of skin contracture release.