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鼻尖鼻小柱瓣推进鼻尖延长术

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  • 上海交通大学医学院附属第九人民医院整复外科;

网络出版日期: 2020-07-23

Augmentation of Nasal Tip by Using Tip-Columnella Sliding Flap

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  • Department of Plastic and Reconstructive Surgery;Shanghai Ninth People s Hospital;Shanghai Jiaotong University School of Medicine;Shanghai 200011;China;

Online published: 2020-07-23

摘要

目的单纯假体植入隆鼻只能增加鼻梁高度,很难改善鼻尖上翘,探讨采用鼻尖鼻小柱瓣推进行鼻尖延长术的效果。方法57例鼻梁低平伴鼻尖上翘患者,采用鼻外切口开放式入路,鼻尖鼻小柱瓣向鼻尖推进使皮肤软组织松解,采用自体耳廓软骨鼻尖移植和人工复合型材料植入,进行鼻尖延长整形。结果所有患者切口Ⅰ期愈合,鼻尖平均延长5.2mm,术后效果满意。经过6~12个月的随访,发现瘢痕隐蔽,鼻外形美观,鼻、面关系协调,无其他相关并发症。结论鼻尖鼻小柱瓣推进可有效延长鼻尖,是改善鼻梁低平伴鼻尖上翘的良好方法。

本文引用格式

韦敏,赵嘉琦,詹明坤 . 鼻尖鼻小柱瓣推进鼻尖延长术[J]. 组织工程与重建外科杂志, 2009 , 5(2) : 92 -94 . DOI: 10.3969/j.issn.1673-0364.2009.04.009

Abstract

Objective To investigate the method on the treatment of tip augmentation by using tip-columnella sliding flap.Methods Fifty eight patients with short nose were included in this study.The tip-columnella sliding flap was used to correct the deformity.The nasal tip was lengthened by advanced flap.The conchal cartilage was placed to improve the length.Results The flaps survived completely in 57 cases.The length of nasal tip had been improved averagely 5.2 mm.Patients were followed up for 6-12 months,satisfactor...
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