自体材料在鼻畸形修复中的个性化应用

发布时间：2018-04-02 21:46

本文选题：鼻畸形　切入点：鼻中隔　出处：《山西医科大学学报》2016年04期

【摘要】：目的探讨自体材料(软骨和骨)在修复鼻畸形中的应用及优势。方法总结分析2004-07~2009-12收治的46例不同类型鼻畸形(包括先天性的与后天性的)患者资料。46例患者根据鼻畸形程度及畸形部位,合理选择自身材料耳甲软骨、鼻中隔、肋软骨、髂嵴骨雕刻成形后单独移植或联合假体植入。结果 46例患者术后术区切口甲级愈合,术区无明显瘢痕增生,供区无明显外形及功能异常,主要畸形均得到矫正,鼻外形基本接近正常。结论客观评价畸形的外在表现并分析其病理基础,从而针对其形态解剖特点入手,个性化设计自体材料,充分利用自体材料的易成活、不排异等特性修复鼻畸形,针对性强、术后患者更容易接受。
[Abstract]:Objective to investigate the application and advantages of autologous materials (cartilage and bone) in the repair of nasal deformities.Methods the data of 46 patients with different types of nasal deformities (including congenital and acquired nasal deformities) admitted in 2009-12 were analyzed. According to the degree and location of nasal deformities, the materials of otinate cartilage, nasal septum and costal cartilage were reasonably selected.The iliac crest was grafted alone or combined with prosthesis after engraving of iliac crest.Results the incision of 46 cases was healed in grade A, no scar hyperplasia, no abnormal shape and function in donor area, major deformities were corrected, and the nasal shape was almost normal.Conclusion objective evaluation of the external manifestations of deformity and analysis of its pathological basis, so as to start with its morphological and anatomical characteristics, personalized design of autologous materials, making full use of the characteristics of autologous materials to survive, no rejection and other characteristics to repair nasal deformities, strong pertinence.Postoperative patients are more receptive.
【作者单位】：中国人民解放军总医院整形修复科;山西医科大学第二临床医学院整形科;
【分类号】：R765.9

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