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。

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.