摘要:Objective:To understand the value of using autogenous ear cartilage and expanded polytetrafluoroethylene in rhinoplasty. Methods:Selected in our hospital in 2012 March to 2014 March were 40 cases underwent rhinoplasty beauty of patients as the research object,selects the alar cartilage edge incision+nasal columella incision to birds,nasal dorsum skin incision,prompted both sides of alar cartilage fully exposed and nasal cartilage,along the midline will bow and separation,and the deep part of nasal septum cartilage removed,to be shaping the post of cartilage of nasal septum in two alar cartilage suture, subsequent formation of new nasal columella(septal cartilage combined with nasal alar cartilage). For ear cartilage carving to almond shaped after nasal columella is fixed at the front end of the suture,and polytetrafluoroethylene was placed back of nose fixed,and finally by incision suture. Results:40 cases of patients receiving cosmetic rhinoplasty were achieved satisfactory results,natural appearance,feel good, the follow-up of 6~18 months,the nasal form satisfactory up to 95%. Conclusion:Autogenous ear cartilage and expanded polytetrafluoroethylene has important application value in rhinoplasty,can adjust the external nasal morphology,is worth the clinical promotion and application of positive.%目的:了解自体耳软骨与膨体聚四氟乙烯在鼻整形中的应用价值。方法:择取我院2012年3月至2014年3月收治的40例接受鼻部整形术的美容就医者为研究对象,择取鼻翼软骨缘切口+鼻小柱飞鸟形切口,将鼻背皮肤切开,促使两侧鼻翼软骨与鼻软骨充分暴露,沿着中线将弓形分离,并将深部鼻中隔软骨取出,待鼻中隔软骨塑形后置入两鼻翼软骨间,继后缝合形成新鼻小柱(中隔软骨联合鼻翼软骨)。待耳软骨雕刻至杏仁状后于鼻小柱前端固定缝合,并将膨体聚四氟乙烯置入鼻背进行固定,最后经切口缝合。结果:40例美容就医者接受鼻部整形术后均取得较为满意的效果,外观自然,手感颇佳,术后随访6~18个月,对鼻形态满意者达95.00%。结论:自体耳软骨与膨体聚四氟乙烯在鼻整形中具有重要的应用价值,能调整外鼻形态,值得临床积极推广与应用。