目的探讨自体肋软骨鼻尖榫卯结构整体支架在鼻综合整形术中的临床应用效果。方法 2015年8月至2018年9月,共115例鼻综合整形患者,均采用自体肋软骨鼻尖榫卯结构整体支架进行鼻综合整形。术后所有患者随访6个月,分析鼻综合整形效果和患者满意度。结果 115例患者平均术后恢复时间为(7.2±1.5) d,平均鼻尖突触高度为(0.57±0.13) cm;术后有5例患者出现鼻尖肿胀情况,抗炎治疗后症状消失,未影响鼻整形效果。满意度调查显示鼻型评分(8.4±1.5)分、鼻尖下小叶饱满度(8.2±1.9)分、鼻尖旋转度(9.2±2.3)分和鼻孔直径(8.7±2.3)分,整体满意率为93.9%(108/115)。结论在鼻综合整形术中采用自体肋软骨鼻尖榫卯结构整体支架可以提高整形效果,降低并发症发生率,值得临床推广应用。

Objective To explore the value and clinical significance of the tenon-mortise structure integral stent of autogenous costal cartilage in nasal comprehensive plastic surgery. Methods A total of 115 patients who underwent nasal comprehensive orthopedic surgery from August 2015 to September 2018 were treated with the tenon-mortise structure integral stent of autogenous costal cartilage. All patients were followed up for 6 months, the linical effect was evaluated and the patients' satisfactory was observed. Results The average postoperative recovery time was (7.2±1.5) days, and the mean synaptic height of nasal tip was (0.57±0.13) cm. The operation was successful in 113 cases (98.3%). After operation, 5 patients developed nasal tip swelling, and the symptoms disappeared after anti-inflammatory treatment and did not affect the effect of rhinoplasty. Satisfaction survey was performed, the score of nasal type was (8.4±1.5), the plumpness of inferior lobule was (8.2±1.9), the rotation degree of nasal tip was (9.2±2.3), nostril diameter was (8.7±2.3) cm. The total satisfactory rate was 93.9%(108/115). Conclusion The application of the tenon-mortise structure integral stent of autogenous costal cartilage in nasal comprehensive plastic surgery can improve the plastic effect and reduce the incidence of complications, and is worthy of clinical promotion.