耳甲软骨结合耳后浅筋膜移植增加鼻背高度的临床应用

发布时间：2018-01-17 00:29

本文关键词：耳甲软骨结合耳后浅筋膜移植增加鼻背高度的临床应用　出处：《东南大学学报(医学版)》2016年06期 　论文类型：期刊论文

【摘要】：目的:探讨耳甲软骨结合耳后筋膜移植增加鼻背高度的临床应用。方法:本组21例求美者就诊于2010年6月至2016年1月,均诊断为鼻背部、鼻根部低平。获取一或两侧的耳甲软骨和一侧的耳后筋膜,塑形后的耳甲软骨植入鼻背或鼻根部以增加其高度,筋膜移植减少移植后软骨台阶感的发生率。结果:本组21例求美者术后随访时间6个月~5年,其中4例鼻部侧面出现软骨移植体的台阶和不规则感,1例鼻根部移植的假体出现整体的轮廓感。经过简单的抽吸处理后鼻外形达到可以接受的程度。3例求美者主诉鼻背高度增加不足,未予处理。1例耳甲腔的皮肤因为术后继发血肿而出现皮肤的挛缩,未予处理。通过最长达5年时间的随访,鼻部形态效果稳定,供区的耳廓形态无畸形。结论:该方法在一定适应证的情况下可以取得较好的临床效果。
[Abstract]:Objective: to investigate the clinical application of auricular cartilage combined with retroauricular fascia transplantation to increase the height of nasal dorsum. Methods: from June 2010 to January 2016, 21 cases were diagnosed as nasal back. The root of the nose is flat. The cartilage of one or both sides of the ear and the posterior fascia of one ear are obtained, and the reconstructed cartilage of the ear is implanted into the nasal back or the root of the nose to increase its height. Results: 21 cases were followed up for 6 months to 5 years, 4 of them had a sense of step and irregularity in nasal side. After simple suction treatment, the nasal shape reached an acceptable level. 3 cases of beauty sufferers complained of insufficient increase in the height of the nasal dorsum. The skin contracture was not treated in 1 cases because of the secondary hematoma after operation. The nasal shape effect was stable after the follow-up of up to 5 years. There is no deformity of auricle in donor area. Conclusion: this method can obtain better clinical effect under certain indications.
【作者单位】：江苏省中医院整形外科;
【分类号】：R765.9
【正文快照】： above 5 cases were satisfied with the results after treated with a simple thenique.3 cases were undercorrected anddidn't need to further surgery.Some cases in 5 years'followed period showed a stable augmentation and the surgicalauricule showed no contour

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