[1]张 晔,董 晨,高 蒙,等.鼻内镜下两种手术方式的综合鼻整形效果观察[J].中国美容医学,2023,(11):22-26.[doi:10.15909/j.cnki.cn61-1347/r.005973]
　ZHANG Ye,DONG Chen,GAO Meng,et al.Observation on the Comprehensive Effect of Two Surgical Methods under Nasal Endoscopy in Nasal Plastic Surgery?/html>[J].Medical Aesthetics and Beauty,2023,(11):22-26.[doi:10.15909/j.cnki.cn61-1347/r.005973]
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鼻内镜下两种手术方式的综合鼻整形效果观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年11期
页码:
22-26
栏目:
出版日期:
2023-11-10

文章信息/Info

Title:
Observation on the Comprehensive Effect of Two Surgical Methods under Nasal Endoscopy in Nasal Plastic Surgery?/html>
文章编号:
1008-6455（2023）11-0022-05
作者:
张 晔; 董 晨; 高 蒙; 黄绪昕
(空军军医大学第一附属医院西京医院耳鼻咽喉头颈外科 陕西 西安 710032 )
Author(s):
ZHANG Ye; DONG Chen; GAO Meng; HUANG Xuxin
(Department of Otolaryngology Head and Neck Surgery,Xijing Hospital,the First Affi liated Hospital of Air Force Military Medical University,Xian 710032,Shaanxi,China)
关键词:
鼻内镜; 肋软骨; 假体; 综合鼻整形术; 美学效果; 形态改善
Keywords:
nasal endoscopy;  costal cartilage;  prosthesis;  comprehensive rhinoplasty;  aesthetic effect;  morphological improvement
分类号:
R762
DOI:
10.15909/j.cnki.cn61-1347/r.005973
文献标志码:
A
摘要:
目的：观察鼻内镜下两种手术方式的综合鼻整形效果。方法：选取笔者医院2018年1月-2020年12月收治的40例鼻整形 就医者，根据手术方法分为对照组（n=20）和观察组（n=20）。对照组行鼻内镜下假体综合鼻整形术治疗，观察组行鼻内 镜下肋软骨结合假体综合鼻整形术治疗。比较两组手术前后鼻部形态改善情况（鼻梁偏斜角度、鼻尖突出度、鼻额角、鼻唇 角）及鼻通气功能（鼻腔容积、鼻腔最小横截面积、鼻腔呼气吸气阻力），对比两组术后7、15、30、60 d疼痛视觉模 拟（Visual analogue scale，VAS）评分，观察两组并发症发生率及美学满意度。结果：对照组术后鼻尖突出度较术 前升高（P＜0.05），鼻梁偏斜角度较术前降低（P＜0.05），鼻额角、鼻唇角较术前升高，差异无统计学意义（P＞0.05）； 观察组鼻尖突出度、鼻额角较术前升高，且高于对照组（P＜0.05），鼻梁偏斜角度、鼻唇角较术前降低，且低于对照组 （P＜0.05）；两组术后鼻腔容积、鼻腔最小横截面积较术前增加，且观察组高于对照组，鼻腔呼气吸气阻力较术前减少， 且观察组低于对照组，差异均有统计学意义（P＜0.05）。术后两组7、15、30、60 d VAS评分、并发症发生率比较，差异无 统计学意义（P＞0.05）。两组美学满意度比较，差异有统计学意义（P＜0.05）。结论：鼻内镜下不同手术用于歪鼻整形中 均有一定效果，可改善歪鼻畸形，调整鼻梁倾斜角度，但鼻内镜下肋软骨结合假体综合鼻整形术对鼻整形就医者形态改善及 美学效果更为显著，且术后并发症较低，就医者美学满意度较高，值得推广。
Abstract:
Objective Observation of the comprehensive nasal plastic surgery effects of two surgical methods under nasal endoscopy. Methods A total of 40 rhinoplasty patients admitted to the author’s hospital from January 2018 to December 2020 were selected and divided into a control group (n=20) and an observation group (n=20) according to the surgical method. The control group was treated with endoscopic prosthetic rhinoplasty, and the observation group was treated with endoscopic costal cartilage combined with prosthetic rhinoplasty.The two groups were compared before and after treatment to improve the shape of the nose (the defl ection angle of the nose bridge, the protrusion of the nose, the frontal angle of the nose, the nasolabial angle) and the ventilation function (the volume of the nasal cavity, the smallest cross-sectional area of the nasal cavity, the inhalation resistance of the nasal cavity), and compare the two groups Pain visual simulation (VAS) scores after 7, 15, 30, and 60 days of treatment were used to observe the incidence of complications and aesthetic satisfaction in the two groups. Results In control group, the protrusion of nasal tip after operation was higher than that before operation (P＜0.05), the deviation Angle of nasal bridge was lower than that before operation (P＜0.05), and the nasal frontal Angle and nasolabial Angle were higher than that before operation, with no statistical signifi cance (P ＞0.05). The nasal tip protrusion and nasal frontal Angle of the observation group were higher than that of the control group before surgery (P＜0.05), and the nasal bridge deviation Angle and nasolabial Angle were lower than that of the control group before surgery (P＜0.05).The postoperative nasal volume and minimum crosssectional area of the two groups were increased compared with that before surgery, and the observation group was higher than the control group, the nasal expiratory and inspiratory resistance was decreased compared with that before surgery, and the observation group was lower than the control group, with statistical signifi cance (P ＜0.05). There was no signifi cant diff erence in VAS scores and incidence of complications at 7, 15, 30 and 60 days after surgery between the two groups (P ＞0.05). There was statistical signifi cance in aesthetic satisfaction between the two groups (P ＜0.05). Conclusion Diff erent surgeries under nasal endoscopy have certain eff ects in deviated nose surgery, which can improve external nose deformity and adjust the angle of inclination of the bridge of the nose. The eff ect is more signifi cant, and the postoperative complications are lower, and the aesthetic satisfaction of patients is higher, which is worthy of promotion.

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更新日期/Last Update: 2023-11-29