鼻尖整形論文：應用自體軟骨修復審美性短鼻合并鼻尖圓鈍低平畸形的臨床研究

1、.鼻尖整形論文：應用自體軟骨修復審美性短鼻合并鼻尖圓鈍低平畸形的臨床研究【中文摘要】探討自體軟骨在審美性短鼻合并鼻尖圓鈍低平畸形整復中的應用方法和效果。方法：通過外切口進路,取自體鼻中隔軟骨或同時取耳軟骨,必要時取肋軟骨,行鼻中隔延伸移植、鼻小柱支撐桿移植、鼻尖結(jié)構(gòu)移植,同時結(jié)合鼻尖縫合和軟骨、軟組織切除技術(shù)修復鼻尖。在術(shù)前和術(shù)后三個月,分別測量鼻長度(n-prn, n:nasion, prn:pronasale)和鼻尖突出度(sn-prn, sn:subnasale),然后進行配對t檢驗的統(tǒng)計學分析。結(jié)果：應用自體軟骨修復審美性短鼻合并鼻尖圓鈍低平畸形的患者31例。術(shù)后隨訪3個月,滿意者30

2、例,滿意率達96.7%,1例因出現(xiàn)術(shù)后雙側(cè)鼻孔不對稱畸形,患者不滿意,占3.3%。手術(shù)前后鼻長度有顯著差異(P<0.05),鼻尖突出度有顯著差異(P<0.05)。結(jié)論：應用自體軟骨移植,結(jié)合鼻尖縫合和切除技術(shù),修復審美性短鼻合并鼻尖圓鈍低平畸形,效果滿意?！居⑽恼?To explore more satisfactory results in correcting the aesthetically short nose combined with low and blunt nasal tip with autologous cartilage grafts.Methods:

3、External rhinoplasty approach is preferred. We have adopted patients nasal septal cartilage and auricular cartilage or rib cartilage when it was necessary, and carved them to various grafts such as septal extention graft, columella strut and shift graft et al. Then we have used these autologous cart

4、ilage grafts with suture and removal techniques to correct the aesthetically short nose combined with low and blunt nasal tip. We also have measured the length of the nose (n-prn) and the projection of the nasal tip (sn-prn) before and after the operation. Paired t-test was adopted to evaluate the r

5、esult.Results:Thirty one patients accepted nasal tip rhinoplasty with autologous cartilage whose nasal tip was over rotation, blunt and low. All patients were followed up for 3 months. Thirty patients have satisfied with the results, making up 96.7 percent of the total. One patient has dissatisfied

6、with the result because of postoperative asymmetry nostrils, making up 3.3 percent of the total. Nose length before and after surgery were significantly different (p<0.05). Nasal tip projection before and after surgery were significantly different (p<0.05).Conclusion:It is an effective method

7、to use autologous cartilage graft to correct the aesthetically short nose combined with low and blunt nasal tip with low complications.【關(guān)鍵詞】鼻尖整形 自體軟骨 審美性短鼻 鼻尖畸形【英文關(guān)鍵詞】nasal tip rhinoplasty autologous cartilage grafts aesthetically short nose nasal tip deformity【目錄】應用自體軟骨修復審美性短鼻合并鼻尖圓鈍低平畸形的臨床研究 摘要 3-4 ABSTRACT 4 第1章 前言 6-8 第2章 資料與方法 8-11 2.1 臨床資料 8 2.2 研究內(nèi)容 8-11 2.2.1 器械 8 2.2.2 手術(shù)方法 8-10 2.2.3 評價方法 10-11 第3章 結(jié)果 11-18 第4章 討論 18-27 4.1 鼻尖美學 18-19 4.2 東亞人鼻尖形態(tài)學特點及解剖學特點 19-21 4.3 東亞人鼻整形手術(shù)美學原則 21 4.4 自體軟骨移植物材料來源及相關(guān)技術(shù) 21-23 4.5 鼻尖常用的軟骨移植物類型及相關(guān)技術(shù) 23-24 4.6 鼻尖