[1] 范东良,武 雪,段智杰,等. L形膨体聚四氟乙烯假体联合少量耳软骨在鼻整形术中的应用[J].中国美容医学,2021,(10):62-64.
　 FAN Dong-liang,WU Xue,DUAN Zhi-jie,et al. Application of L-shaped ePTFE Prosthesis Combined with a Small Amount of AuricularCartilage in Rhinoplasty[J].Medical Aesthetics and Beauty,2021,(10):62-64.
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 L形膨体聚四氟乙烯假体联合少量耳软骨在鼻整形术中的应用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年10期
页码:
62-64
栏目:
出版日期:
2021-10-10

文章信息/Info

Title:
 Application of L-shaped ePTFE Prosthesis Combined with a Small Amount of Auricular
Cartilage in Rhinoplasty
文章编号:
1008-6455（2021）10-0062-03
作者:
 范东良1; 武 雪1; 段智杰1; 王秉正2; 杨志华2; 刘 琦2
Author(s):
 FAN Dong-liang1; WU Xue1; DUAN Zhi-jie1; WANG Bing-zheng2; YANG Zhi-hua2; LIU Qi2
关键词:
 [关键词]鼻整形; 耳软骨; 膨体聚四氟乙烯; L形假体; 开放入路
Keywords:
 Key words: rhinoplasty;  auricular cartilage;  expanded polytetrafluoroethylene(e-PTFE);  L-shaped prosthesis;  open access
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：观察L形膨体聚四氟乙烯（Expanded polytetrafluoroethylene，e-PTFE）假体联合单侧耳甲腔软骨在鼻整形
术中的应用效果。方法：采用Goodman切口开放入路，将L形膨体聚四氟乙烯假体作为支架抬高延长鼻尖，将假体的鼻小柱部
分插入鼻翼软骨内侧脚间腔隙内形成悬浮型支撑杆移植物。松解提拉双侧鼻翼软骨，将双侧鼻翼软骨穹窿部缝合固定于膨体
鼻尖部顶端。切取耳甲腔软骨雕刻成盾牌及长椭圆形帽状移植物固定于假体前顶端及鼻翼软骨穹窿部尾侧缘。结果：本组66
例就医者术后鼻长度较术前增加3～8mm，平均4mm，鼻尖突出度增加3～7mm，平均4mm，鼻尖形态满意。1例出现术后感染。
结论：单侧耳甲腔软骨联合L形膨体聚四氟乙烯假体用于开放入路轻中度短鼻、低鼻整形，方法简单可靠，效果良好，适合
东亚人鼻整形。

Abstract:
Abstract: Objective To study an method combined L-shaped e-PTFE implantation and a small amount of auricular cartilage
graft in rhinoplasty Methods Used Goodman incision open approach, L-shaped e-PTFE prosthesis was used as a stent to raise
and extend the nasal tip, and the nasal column of the prosthesis was inserted into the space between the medial feet of alar
cartilage to form a suspended support rod graft. Release and pull bilateral alar cartilage, suture and fix bilateral alar cartilage
fornix on the top of expanded nose tip. The concha cartilage was cut and carved into a shield and a long oval cap graft was
fixed on the front top of the prosthesis and the caudal edge of the alar cartilage fornix. Results The nasal length of 66 patients
increased by 3-8mm, with an average of 4mm, and the protrusion of nasal tip increased by 3-7mm, with an average of 4mm.
The shape of nasal tip was satisfactory. Postoperative infection occurred in one case. Conclusion Unilateral concha cartilage
combined with L-shaped e-PTFE prosthesis is used for open approach, mild to moderate short nose and low nose plastic
surgery. The method is simple, reliable and effective. It is suitable for East Asian nose plastic surgery.

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[2]曹海峰,马志兵,陈 刚,等.鼻中隔及耳软骨联合膨体材料在鼻整形术中的应用[J].中国美容医学,2018,(11):116.
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　XU Yingxue,LUO Xianqing.Application and Aesthetic Effect of High-density Porous Polyethylene Combined with Auricular Cartilage Transplantation in Rhinoplasty[J].Medical Aesthetics and Beauty,2023,(10):22.

更新日期/Last Update: 2021-11-02