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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2023年4期

页码:

46-49

栏目:

出版日期:

2023-04-10

文章信息/Info

Title:

Effect of the Alar Contour Grafts on the Postoperative Alar Retraction in Rhinoplasty

文章编号:

1008-6455（2023）04-0046-04

作者:

王雪迪¹ ; 孟 雨² ; 杨 欣³ ; 黎 冻⁴ ; 王雪峰⁵

(1.唐山市开平医院医疗美容外科 河北 唐山 063021 ;2.广西格林美菲医疗美容门诊部医疗美容外科 广西 南宁 530000 ; 3. 北京大学第三医院成型外科 北京 100083 ;4.广西医科大学第二附属医院整形美容外科 广西 南宁 530000 ;5.沈阳市红十 字会医院骨科 辽宁 沈阳 110000 )

Author(s):

WANG Xuedi¹ ; MENG Yu² ; YANG Xin³ ; LI Dong⁴ ; WANG Xuefeng⁵

(1.Department of Plastic Surgery,Kaiping Hospital,Tangshan 063021,Hebei,China; 2.Department of Plastic Surgery,GreenMellie Medical Cosmetic Clinic,Nanning 530000, Guangxi, China; 3.Department of Plastic Surgery,the Third Affi liated Hospital of Beijing University,Beijing 100083,China; 4.Department of Plastic Surgery,the Second Affi liated Hospital of Guangxi Medical University,Nanning 530000,Guangxi, China; 5.Department of Orthopedics,Shenyang Red Cross Society Hospital,Shenyang 110000,Liaoning,China)

关键词:

鼻翼缘退缩; 肋软骨; 鞍鼻; 短鼻; 鼻整形术

Keywords:

alar retraction;  costicartilage;  saddle nose;  short nose;  rhinoplasty

分类号:

R622

文献标志码:

A

摘要:

目的：分析鼻整形术中放置鼻翼缘移植物对术后鼻翼缘退缩的影响。方法：选取2018年12月-2020年12月在笔者医院 初次行鼻整形术的女性就医者40例，采用随机数字表法分为实验组和对照组，每组20例。实验组鼻整形术中常规放置鼻翼缘 移植物，对照组不放置鼻翼缘移植物。拍摄就医者侧面观照片，观察就医者鼻小柱与鼻翼缘关系，测量其鼻孔长轴以及鼻翼 缘最高点与鼻孔长轴线之间的距离并计算鼻孔轴距比。比较就医者术前及术后1年的鼻孔轴距比。结果：术后随访1年，失访 12 例。最终实验组15例，对照组13例。实验组与对照组术前鼻孔轴距比差异无统计学意义（P＞0.05）。术后实验组鼻孔轴 距比小于对照组，差异有统计学意义（P＜0.01）。实验组术前与术后鼻孔轴距比比较差异无统计学意义（P＞0.05）。对照 组术前与术后鼻孔轴距比差异有统计学意义（P＜0.01）。两组就医者均未出现并发症。结论：鼻整形术中常规放置鼻翼缘 移植物，对术后就医者鼻翼缘退缩有明显的改善作用。

Abstract:

Objective To analyze the eff ect of the alar contour grafts on the postoperative alar retraction in rhinoplasty. Methods Forty female patients attending the author’s hospital for fi rst time rhinoplasty from December 2018 to December 2020 were selected. A random number table method was used to divide the group into the experimental group and the control group of 20 cases each. In the experimental group, the alar grafts were routinely placed, while in the control group, the alar grafts were not used. The long axis of the nostrils and the distance between the highest point of the alar rim and the long axis of the nostrils were observed by taking a lateral view photograph of the patient to evaluate the relationship between the columella and the alar rim. In comparison of patients’ nostril axis ratios preoperatively and one year postoperatively. Results Post-operative follow-up one year and 12 cases were lost to follow up. There were 15 cases in the fi nal experimental group and 13 cases in the control group. The difference between the preoperative nostril axis ratio of the experimental group and the control group was not statistically significant (P ＞0.05).The postoperative nostril axis ratio of the experimental group was smaller than that of the control group, and the difference was statistically significant. The difference between the preoperative and postoperative nostril axis ratio in the experimental group was not statistically significant (P＞0.05).In the control group, there was a statistically significant difference between the preoperative and postoperative nostril axis ratios (P＜0.01).There were no post-operative complications in two groups. Conclusion General applications of the alar contour grafts in rhinoplasty could significantly prevent the alar retraction postoperation.

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更新日期/Last Update: 2023-05-08