应用自体软骨修复审美性短鼻合并鼻尖圆钝低平畸形的临床研究

发布时间：2018-02-20 07:33

本文关键词： 鼻尖整形自体软骨审美性短鼻鼻尖畸形　出处：《南昌大学》2011年硕士论文　论文类型：学位论文

【摘要】：目的：探讨自体软骨在审美性短鼻合并鼻尖圆钝低平畸形整复中的应用方法和效果。方法：通过外切口进路,取自体鼻中隔软骨或同时取耳软骨,必要时取肋软骨,行鼻中隔延伸移植、鼻小柱支撑杆移植、鼻尖结构移植,同时结合鼻尖缝合和软骨、软组织切除技术修复鼻尖。在术前和术后三个月,分别测量鼻长度(n-prn, n:nasion, prn:pronasale)和鼻尖突出度(sn-prn, sn:subnasale),然后进行配对t检验的统计学分析。结果：应用自体软骨修复审美性短鼻合并鼻尖圆钝低平畸形的患者31例。术后随访3个月,满意者30例,满意率达96.7%,1例因出现术后双侧鼻孔不对称畸形,患者不满意,占3.3%。手术前后鼻长度有显著差异(P0.05),鼻尖突出度有显著差异(P0.05)。结论：应用自体软骨移植,结合鼻尖缝合和切除技术,修复审美性短鼻合并鼻尖圆钝低平畸形,效果满意。
[Abstract]:Objective: to investigate the application and effect of autologous cartilage in the treatment of short nose with nasal obtuse and low level deformity. Methods: autologous nasal septum cartilage was taken from the external incision, and the costal cartilage was removed at the same time, then the nasal septum extension graft, the column support rod transplantation, the nasal tip structure transplantation, the suture of the nasal tip and the cartilage, were performed at the same time. The nasal tip was repaired with soft tissue resection technique. Before and three months after operation, the nasal length was measured as n-prnn, n: nasion, prn: pronasale) and nasal tip protrusion sn-prn, sn-prn, sn-subnasaleal, and then the statistical analysis of paired t test was performed. Results: 31 cases of aesthetic short nose combined with blunt low level deformity of nasal tip were repaired with autologous cartilage. After 3 months follow-up, 30 cases were satisfied, and the satisfaction rate was 96.7% in 1 case. There were significant differences in nasal length before and after operation (P 0.05) and nasal apex protrusion (P 0.05). Conclusion: using autologous cartilage transplantation combined with nasal suture and excision to repair the aesthetic short nose with obtuse low level deformity of nasal tip with satisfactory results.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R622;R765.9

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