目的 探讨自体真皮瓣游离移植结合多种材料在隆鼻手术中的应用。方法 2014年1月至2015年1月,根据患者鼻部的情况,对31例隆鼻患者采取自体真皮瓣结合硅胶假体、耳甲腔软骨综合隆鼻,并观察临床效果。结果本组患者术后真皮成活良好,鼻部外形自然、满意。随访6~12个月,除1例术后并发感染,经积极抗炎治疗有效,其余患者无并发症产生。结论 自体真皮瓣结合硅胶假体、耳甲腔软骨等综合隆鼻,可降低假体外露等并发症的发生率,术后鼻部外形自然,效果良好。

Objective To explore the application of autologus dermis flap combining with other materials in rhinoplasty. Methods From January 2014 to January 2015, according to the condition of the patient’s nasal, 31 cases received rhinoplasty using autologous dermis flap combining with silicon prosthesis and auricle cartilage, and the clinical effects were observed. Results The dermis flaps were survived in all the cases. Satisfactory and natural nasal shape was obtained. All the patients were followed up for 6 months to 1 year. Only 1 patient got infection after surgery and healed after anti-inflammatory. The other patients were satisfied with the outcomes without complication. Conclusion Autologous dermis flap combining with silicon prosthesis and auricle cartilage for rhinoplasty can reduce the incidence of complications, like prosthesis exposure, and achieve natural nasal shape.