自体鼻中隔软骨在鼻背凹陷充填术中的应用

Dorsal augmenting aesthetic rhinoplasty using autogenous septal cartilage

目的 介绍用自体鼻中隔软骨充填鼻背凹陷的方法。方法 按常规鼻中隔矫正术切取鼻中隔软骨 ,根据鼻背凹陷的不同程度和部位 ,将充填软骨修削成单层卵圆形 ,或将软骨分割成 2～ 3块叠加后缝合在一起 ,或将软骨制成倒“V”形 ,根据鼻背凹陷的大小和形状进行鼻背部充填。结果 43例患者短期效果全部满意 ,3 0例经 6个月至 5年随访 ,其中 3例软骨有轻度吸收 ,鼻背稍凹陷 ,其余均较满意。结论 自体鼻中隔软骨充填鼻背整形 ,取材在同一手术野内完成 ,方法简便易行 ,软骨能与周围组织融合在一起 ,无排斥反应 ,长期效果较好 。

Objective To introduce a method of dorsal augmentation rhinoplasty using autogenous septal cartilage. Methods Autogenous septal cartilage was obtained through a standard septoplasty approach. Graft was cut into single oval, or divided into two or three parts, then the cartilage was sutured by means of a mattress suture; or graft was made into an inverted V frame, depending on size and shape of dorsal depression, and finally graft was inserted for augmentation of dorsum. Results Since May 1989 to Dec. 2001, this technique was performed in 43 patients, 6 men and 37 women, with a range of 17-35 years and a mean age of 24 years. Follow-up ranged from 6 months to 5 years. The authors asserted the sustained satisfactory outcomes. Conclusion Autogenous septal graft is technically simple and relatively free of complication. Long-term evaluations show no absorption of grafts and preservation of desired shape.