组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2015, Vol. 11 ›› Issue (6): 379-408.doi: 10.3969/j.issn.1673-0364.2015.06.009

• 论著 • 上一篇    下一篇

隆鼻术中扁圆形前鼻孔的联合治疗

孙小银，段惠川，袁捷，韦敏   

  1. 苏州金阊医院整形外科；上海交通大学医学院附属第九人民医院整复外科
  • 发布日期:2020-07-23

Combined Treatment of Oblate Anterior Naris in Rhinoplasty

SUN Xiaoyin,DUN Huichuan,YUAN Jie,WEI MIN   

  1. Department of Plastic Surgery, Suzhou Jingchang Hospital; Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine;
  • Published:2020-07-23
  • Contact: 国家自然科学基金(81471886)

摘要： 目的 探讨隆鼻术中扁圆形前鼻孔塑形的手术方式。方法 2014年12月至2015年5月,对57例先天性鼻孔扁圆横向者,采集术前术后数字图像并测量数据。从鼻外切口入路,通过采用两侧大翼软骨拉拢缝合、鼻小柱-上唇皮瓣推进法、自体软骨/假体植入等,达到全鼻形态的综合塑形。结果 所有患者切口一期愈合,鼻孔方向和角度明显改善,术后效果满意。术后随访6~12个月,可见切口瘢痕隐蔽,鼻孔形态无复发,无并发症出现。结论 通过两侧大翼软骨拉拢缝合、鼻小柱-上唇皮瓣推进,可有效调整鼻孔形态。

关键词: 鼻孔方向, 鼻孔形状, 鼻下叶, 鼻美容测量

Abstract: Objective To investigate the methodology of improving the morphology of oblate anterior naris. Methods From December 2014 to May 2015, 57 cases with congenital inclinate oval-shaped nostrils were measured by digital photographies before and after operation. The morphology of anterior naris was corrected by open approach rhinoplasty with interdomal suture, columellar-upper lip V-Y sliding flap and autologous cartilage/prosthesis implantation. Results The surgical incisions healed primarily in all patients. The nostril direction and angle was obviously improved. All the patients were followed up for 6 to 12 months, invisible scar was observed, no recurrence and undesirable complications were observed. Conclusion The interdomal suture and columellar-upper lip V-Y sliding flap can effectively correct the nostril orientation and the nasal base shape.

Key words: Nostril orientation, Nasal base shape, Infra-tip lobule, Anthropometry of nasal aesthetics

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