自体耳软骨双层SEG联合下外侧软骨外侧脚缝合在初次鼻整形鼻尖延长中的效果观察
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摘要
目的观察自体耳软骨制成双层鼻中隔延伸移植物(septal extension graft, SEG),联合下外侧软骨外侧脚缝合用于鼻尖延长的效果。方法选取有短鼻延长和隆鼻要求的初次鼻整形患者29例,取耳甲艇和耳甲腔软骨。其中耳甲艇软骨用于制作双层SEG,同时联合下外侧软骨外侧脚缝合延长鼻尖;耳甲腔软骨用于制作帽状移植物进行鼻尖成形;鼻背抬高采用硅胶假体或膨体。结果本组29例患者术后随访12个月,均获得良好的鼻尖延长效果,无明显鼻尖下降。结论自体耳软骨双片SEG联合下外侧软骨外侧脚缝合用于初次鼻整形的鼻尖延长,可获得满意的效果。
Objective To observe the effect of bilayer nasal septal extension graft(SEG) made of autologous auricular cartilage combined with lateral feet suture of lower lateral cartilage for nasal tip extension. Methods Twenty-nine patients with congenital short noses were selected. In each case, the cymba conchae and auricular cartilage were collected and the cymba conchae was used to make a bilayer SEG. The nasal tip was extended through SEG combined with lateral feet suture of the lower lateral cartilage. The auricular cartilage was used to make a cap graft or shield graft for nasal tip shaping. The silicon or e-PTFE was implanted to elevate the nasal dorsum.Results All patients were followed-up postoperatively for 12 months and good results were achieved in the nasal tip extension. No obvious tip retraction or dropping was found. Conclusion Surgeons can obtain satisfactory results through the application of autologous auricular cartilage bilayer septal extension graft(SEG) combined with lateral feet suture of the lower lateral cartilage for nasal tip extension in primary rhinoplasty.
Objective To observe the effect of bilayer nasal septal extension graft(SEG) made of autologous auricular cartilage combined with lateral feet suture of lower lateral cartilage for nasal tip extension. Methods Twenty-nine patients with congenital short noses were selected. In each case, the cymba conchae and auricular cartilage were collected and the cymba conchae was used to make a bilayer SEG. The nasal tip was extended through SEG combined with lateral feet suture of the lower lateral cartilage. The auricular cartilage was used to make a cap graft or shield graft for nasal tip shaping. The silicon or e-PTFE was implanted to elevate the nasal dorsum.Results All patients were followed-up postoperatively for 12 months and good results were achieved in the nasal tip extension. No obvious tip retraction or dropping was found. Conclusion Surgeons can obtain satisfactory results through the application of autologous auricular cartilage bilayer septal extension graft(SEG) combined with lateral feet suture of the lower lateral cartilage for nasal tip extension in primary rhinoplasty.
引文
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[5]李建兵,宋东明,许炎龙,等.自体耳软骨在鼻尖成形术的临床效果[J].中华医学美学美容杂志,2018,24(5):335-338.
[6]赵延峰,郭东超,陶虹宇,等.利用耳甲软骨构建L形支架在鼻综合整形中的应用[J].中国美容医学,2015,24(12):24-26.
[7]肖翔辕,黎冻,周翔,等.L形硅胶假体结合耳廓软骨综合鼻整形应用探讨[J].中国美容医学,2016,25(4):1-4.
[8]朴永男,金光善.自体耳软骨鼻中隔前端延长板移植在短鼻矫正术中的应用[J].中国美容整形外科杂志,2012,23(4):228-229.
[9]SUH Y C,JEONG W S,CHOI J W.Septum-based nasal tip plasty:a comparative study between septal extension graft and double-layered conchal cartilage extension graft[J].Plast Reconstr Surg,2018,141(1):49-56.
[10]TORIUMI D M.Discussion:Septum-based nasal tip plasty:a comparative study between septal extension graft and double-layered conchal cartilage extension graft[J].Plast Reconstr Surg,2018,141(1):57-58.
[11]倪云志,艾玉峰,傅晓茜.耳软骨穹窿重建移植物在鼻尖整形中的应用[J].中国美容整形外科杂志,2016,27(1):42-44.
[12]安阳,李东,杨欣,等.M形软骨支架用于鼻尖成形术的临床效果[J].中华医学美学美容杂志,2016,22(4):196-198.
[2]KIMC H,JUNG D H,PARK MN,et al.Surgical anatomy of cartilaginous structures of the Asian nose:clinical implications in rhinoplasty[J].Laryngoscope,2010,120(5):914-919.
[3]JIN H R,WON T B.Recent advances in Asian rhinoplasty[J].Auris Nasus Larynx,2011,38(2):157-164.
[4]PIRSIG W,KERN E B,VERSE T.Reconstruction of anterior nasal septum:back-to-back autogenous ear cartilage graft[J].Laryngoscope,2004,114(4):627-638.
[5]李建兵,宋东明,许炎龙,等.自体耳软骨在鼻尖成形术的临床效果[J].中华医学美学美容杂志,2018,24(5):335-338.
[6]赵延峰,郭东超,陶虹宇,等.利用耳甲软骨构建L形支架在鼻综合整形中的应用[J].中国美容医学,2015,24(12):24-26.
[7]肖翔辕,黎冻,周翔,等.L形硅胶假体结合耳廓软骨综合鼻整形应用探讨[J].中国美容医学,2016,25(4):1-4.
[8]朴永男,金光善.自体耳软骨鼻中隔前端延长板移植在短鼻矫正术中的应用[J].中国美容整形外科杂志,2012,23(4):228-229.
[9]SUH Y C,JEONG W S,CHOI J W.Septum-based nasal tip plasty:a comparative study between septal extension graft and double-layered conchal cartilage extension graft[J].Plast Reconstr Surg,2018,141(1):49-56.
[10]TORIUMI D M.Discussion:Septum-based nasal tip plasty:a comparative study between septal extension graft and double-layered conchal cartilage extension graft[J].Plast Reconstr Surg,2018,141(1):57-58.
[11]倪云志,艾玉峰,傅晓茜.耳软骨穹窿重建移植物在鼻尖整形中的应用[J].中国美容整形外科杂志,2016,27(1):42-44.
[12]安阳,李东,杨欣,等.M形软骨支架用于鼻尖成形术的临床效果[J].中华医学美学美容杂志,2016,22(4):196-198.