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《鼻尖整形论文: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》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、鼻尖整形论文: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【中文摘要】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
2、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(P<0.05),鼻尖突出度有显著差异(P<0.05)。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。【英文摘要】:Toexploremoresatisfactoryresultsincorrectingtheaestheticallyshortnosecombinedwithlowandblun
3、tnasaltipwithautologouscartilagegrafts.Methods:Externalrhinoplastyapproachispreferred.Wehaveadoptedpatients’nasalseptalcartilageandauricularcartilageorribcartilagewhenitwasnecessary,andcarvedthemtovariousgraftssuchasseptalextentiongraft,columellastrutandshiftgr
4、aftetal.Thenwehaveusedtheseautologouscartilagegraftswithsutureandremovaltechniquestocorrecttheaestheticallyshortnosecombinedwithlowandbluntnasaltip.Wealsohavemeasuredthelengthofthenose(n-prn)andtheprojectionofthenasaltip(sn-prn)beforeandaftertheoperation.Paired
5、t-testwasadoptedtoevaluatetheresult.Results:Thirtyonepatientsacceptednasaltiprhinoplastywithautologouscartilagewhosenasaltipwasoverrotation,bluntandlow.Allpatientswerefollowedupfor3months.Thirtypatientshavesatisfiedwiththeresults,makingup96.7percentofthetotal.O
6、nepatienthasdissatisfiedwiththeresultbecauseofpostoperativeasymmetrynostrils,makingup3.3percentofthetotal.Noselengthbeforeandaftersurgeryweresignificantlydifferent(p<0.05).Nasaltipprojectionbeforeandaftersurgeryweresignificantlydifferent(p<0.05).Conclusion:Itis
7、aneffectivemethodtouseautologouscartilagegrafttocorrecttheaestheticallyshortnosecombinedwithlowandbluntnasaltipwithlowcomplications.【关键词】鼻尖整形自体软骨审美性短鼻鼻尖畸形【英文关键词】nasaltiprhinoplastyautologouscartilagegraftsaestheticallyshortnosenasaltipdeformity【目录】应用自体软骨修复审美性短鼻
8、合并鼻尖圆钝低平畸形的临床研究摘要3-4ABSTRACT4第1章前言6-8第2章资料与方法8-112.1临床资料82.2研究内容8-112.2.1器械82.2.2手术方法8-102.2.3评价方法10-11第3章结果11-18第4章讨论18-274.1鼻尖美学18-194.2东亚人鼻尖形态学特点及解剖学特点19-214.3东亚人鼻整形手术美学原