自体骨结合鼻翼旋转皮瓣用于鼻翼内陷的整形效果评价

发布时间：2018-05-25 19:41

本文选题：鼻翼内陷 + 自体骨　；参考：《广东医学》2017年08期

【摘要】：目的探究自体骨结合鼻翼旋转皮瓣用于鼻翼内陷重建的整形效果。方法选取32例鼻翼内陷患者,均采用自体肋软骨结合鼻翼旋转皮瓣进行重建,对比包括治疗前后鼻孔直径差异、鼻翼基线与面中线间距、鼻坎高度等在内的手术指标,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者治疗前后的心理状况进行评价,并对比患者治疗前后自我面容满意度。结果治疗后患者鼻孔纵向直径增大,横向直径减小,与治疗前相比差异均有统计学意义(P0.05);治疗后患者鼻翼基线与面中线间距缩小,鼻坎高度增高,与治疗前相比差异均有统计学意义(P0.05);治疗后患者的SAS及SDS评分均显著降低,自我面容满意度评分明显提高,与治疗前相比差异均有统计学意义(P0.05)。结论采用自体骨结合鼻翼旋转皮瓣进行鼻翼内陷的重建修复,能够有效地改善内陷症状,恢复患者的面容美观,减轻患者的心理压力,值得在临床上推广和应用。
[Abstract]:Objective to investigate the effect of autogenous bone combined with rotated alar flap in reconstruction of nasal cavity. Methods 32 cases of nasal wing invagination were reconstructed with autogenous costal cartilage combined with nasal wing rotation flap. The operation indexes including the difference of nostril diameter before and after treatment, the distance between the baseline and the midline of nasal wing, the height of nasal ridge were compared. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the psychological status of the patients before and after treatment and to compare their self-facial satisfaction before and after treatment. Results after treatment, the nostril diameter increased and the transverse diameter decreased, the difference was statistically significant compared with that before treatment, the distance between the baseline and midline of nasal alar decreased and the height of nasal ridge increased after treatment. After treatment, the scores of SAS and SDS were significantly decreased, and the scores of self-facial satisfaction were significantly increased, and the differences were statistically significant compared with those before treatment (P 0.05). Conclusion autogenous bone combined with rotated alar flap can effectively improve the invagination symptoms, restore the appearance of the patients and relieve the psychological pressure of the patients. It is worth popularizing and applying in clinic.
【作者单位】：西安市第九医院烧伤整形科;
【分类号】：R622;R765.9

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