目的：探讨鼻尖整形联合硅胶假体植入，对鼻畸形的治疗效果。方法：选择本人2010年3月至2013年8月收治的38例鼻畸形患者为研究对象，根据中国人鞍鼻与鼻尖扁平、肥大且圆钝者，设计鼻翼软骨外侧脚头“新月”形软骨悬吊与切除，并向中线拉拢后进行外固定。手术将“新月”形鼻翼软骨植入鼻尖，假体形成“盾牌”，可抬高鼻尖，延长鼻小柱，起到鼻尖部分脂肪结缔转移的效果。结果：本组38例患者，均于术后2年时间内进行随访，其中效果良好者28例，有改善者9例，有1例患者伴有轻微并发症，无患者术后发生鼻尖形态异常情况。结论：在直视下与硅胶假体联合进行鼻尖整形，能显著改善鼻部的美学效果，可避免发生假体移位、下滑和外露等情况，其效果显著，值得进一步在临床上推广使用。%Objective:To investigate the rhinoplasty with silicone prosthesis implantation and the treatment effect on the nasal deformity. Methods:38 cases of nasal deformity patients in the hospital from March, 2010 to August, 2013 were selected as the research objects. According to the Chinese saddle and flat nose, mast and blunt, design of lateral cartilages head “Crescent” shaped cartilage suspension and removal was done, and it was drawn to the midline and then was fixed up. “New moon” operation will shape the alar cartilage nose prosthesis implantation and form a “shield”, to raise the tip of the nose, extend nasal columella and transfer the tip of the nose part fat paeoniae. Results:In this group, 38 patients were followed up for 2 years, in which 28 cases had good effect, 9 cases improved, 1 patients had minor complications, and no patient had tip anomalies. Conclusion:Under direct vision, rhinoplasty silicone prosthesis can significantly improve the nasal aesthetic effect, can prevent the occurrence of prosthesis displacement, slipping and exposed situation. Its effect is significant, and is worthy of further promotion in clinical use.
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