医源性鼻部挛缩畸形的治疗

中华医学美学美容杂志 Pub Date : 2019-08-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.04.005

Yan-wen Qi, Hui Lu, Zhiqiang Xue, Cheng Sun, Bo Chen, Li Ma, Yang Zhou

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引用次数: 0

摘要

目的探讨矫正鼻整形术后重度挛缩性鼻畸形的方法及临床效果。方法自2014年3月以来，我院对19例鼻整形术后重度挛缩性鼻畸形患者进行了新的手术治疗。术前对软组织进行手动牵引治疗，以改善鼻皮肤和粘膜的延展性和柔韧性。以肋软骨为结构移植，构建鼻腔支撑结构。结果本组患者随访5～27个月，矫正了鼻部挛缩畸形，改善了鼻形，无明显的挛缩变形。结论鼻支架和涂层组织可以改善鼻外形。通过人工牵引和自体肋软骨支撑重建来改变软组织状况，是一种简单可行的方法，以确保背衬的长期疗效；两种联合治疗医源性挛缩性鼻畸形，可取得较好的远期鼻延长术后效果，适合临床推广。关键词：医源性挛缩性鼻畸形；手动牵引；软骨结构移植；隆鼻术；鼻腔伸长

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Treatment of iatrogenic contracture nasal deformity

Objective To explore the method and clinical effects of treatment for correcting severe contracture nasal deformity after rhinoplasty. Methods Totally 19 patients with severe contracture nasal deformity after rhinoplasty were treated with a new procedure in our hospital since March 2014. The soft tissue was treated with manual traction preoperatively to improve nasal skin and mucosa extensibility and flexibility. The costicartilage was taken as structure transplantation to build the nasal support structure. Results This group of patients were followed up for 5-27 months, contracture of nasal deformity was corrected and the shape of the nose was improved with no obvious contracture deformation. Conclusions Nasal shape is improved by nasal scaffold and coated tissue. It is a simple and feasible method to modify the condition of soft tissue by manual traction and autogenous costicartilage support reconstruction to ensure the long-term efficacy of backing; two combination therapy for correction of iatrogenic contracture nasal deformity can achieve better long-term nasal prolonged postoperative effect, which is suitable for clinical promotion. Key words: Iatrogenic contracture nasal deformity; Manual traction; Costicartilage structure transplantation; Augmentation rhinoplasty; Nasal elongation

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来源期刊

中华医学美学美容杂志

自引率

0.00%

发文量

4641

期刊介绍： "Chinese Journal of Medical Aesthetics and Cosmetology" is a high-end academic journal focusing on the basic theoretical research and clinical application of medical aesthetics and cosmetology. In March 2002, it was included in the statistical source journals of Chinese scientific and technological papers of the Ministry of Science and Technology, and has been included in the full-text retrieval system of "China Journal Network", "Chinese Academic Journals (CD-ROM Edition)" and "China Academic Journals Comprehensive Evaluation Database". Publishes research and applications in cosmetic surgery, cosmetic dermatology, cosmetic dentistry, cosmetic internal medicine, physical cosmetology, drug cosmetology, traditional Chinese medicine cosmetology and beauty care. Columns include: clinical treatises, experimental research, medical aesthetics, experience summaries, case reports, technological innovations, reviews, lectures, etc.