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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2023年7期

页码:

62-65

栏目:

出版日期:

2023-07-10

文章信息/Info

Title:

Application of Split Costal Cartilage Harvest Technique under Local Anesthesia in Rhinoplasty

文章编号:

1008-6455（2023）07-0062-04

作者:

刘 宁; 刘育凤; 胡 亮; 王卉丽; 李欣欣; 朱紫薇; 倪小冬; 文 婷

(南京市第二医院整形外科 江苏 南京 210003 )

Author(s):

LIU Ning; Liu Yufeng; HU Liang; WANG Huili; LI Xinxin; ZHU Ziwei; NI Xiaodong; WEN Ting

(Department of Plastic Sugery,Nanjing Second Hospital,Nanjing 210003,Jiangsu,China)

关键词:

肋软骨; 局麻; 鼻尖成形; 疼痛; 加速康复

Keywords:

split costal cartilage;  local anesthesia;  nasal tip plasty;  pain;  accelerate the recovery time

分类号:

R765.9

DOI:

10.15909/j.cnki.cn61-1347/r.005781

文献标志码:

A

摘要:

目的：探讨局麻下片状切取肋软骨技术在鼻整形中的应用效果。方法：选取2020年04月-2021年11月南京第二医院整 形外科行肋软骨鼻尖塑形手术就医者共20例，在局麻下断层片状切取肋软骨行鼻尖塑形。同期选取同类鼻尖塑形病例20例作 为对照组，对照组在全麻下全层切取肋软骨。记录两组术后胸部术区疼痛程度、术后下床时间、术中切取肋软骨时间，并进 行统计学分析。术后随访时间6～12个月，对比两组的手术效果。结果：所有就医者均成功完成鼻整形术，两组术后就医者 均对鼻整形效果满意。两组切取肋软骨量均满足鼻整形需求，无气胸、血胸、血肿及感染等并发症。局麻组切取肋软骨鼻整 形组术后下床时间及肋软骨切取手术时间均小于同期全麻下全层切取肋软骨鼻整形组，局麻组术后6 h、24 h、48 h VAS评分 均小于全麻组，差异具有统计学意义。结论：局麻下保留软骨桥的片状切取肋软骨技术，操作简单，可以安全快速切取所需 肋软骨，满足鼻整形的需要。可以显著缩短手术时间，降低就医者疼痛，加速康复时间。

Abstract:

Objective To investigate the application effect of split costal cartilage harvest technique under local anesthesia in rhinoplasty. Methods From April 2020 to November 2021, a total of 20 cases with tip rhinoplasty in the plastic surgery department of Nanjing second hospital, and the rib cartilage was cut by sectional section under local anesthesia. In the same period, 20 cases of nasal tip shaping were selected as the control group, and the rib cartilage was cut through the whole layer under general anesthesia. After the operation, recorded the pain degree of the chest operation area,the time to get out of bed,intraoperative resection time of costal cartilage,and conduct statistical analysis. The postoperative follow-up time was 6-12 months, compared the operation eff ect of the two groups. Results The operation was successfully completed in all patients. The costal cartilage was cut to meet the requirements for rhinoplasty. There was no postoperative complications such as pneumothorax,hemothorax, hematoma, and infection. The postoperative pain score, time to get out of bed, and operation time were all lower than those of cost cartilage removal under general anesthesia during the same period. VAS scores at 6 h, 24 h and 48 h in the local anesthesia group were lower than those in the general anesthesia group, and the diff erence was statistically signifi cant. Conclusion The technique of preserving the cartilage bridge and cutting the costal cartilage under local anesthesia is a simple, safe, and fast surgical method. At the same time meet the needs of rhinoplasty surgery. This method can signifi cantly shorten the operation time, reduce the patient’s pain, and accelerate the recovery time.

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更新日期/Last Update: 2023-08-01