Objective To discuss the clinical effect of autologous nasal alar cartilage transplantation in the comprehensive plastic surgery of nasal tip. Methods Fifty-six patients who received nasorostral hypertrophy plastic surgery in our hospital from September 2015 to August 2016 were selected, and the patients were randomly divided into the observation group and the control group, 28 cases in each group. The patients in the observation group received autologous alar cartilage transplantation and columella nasi elevation for nasal plastic surgery. The patients in the control group received expanded prosthesis for nasal plastic surgery. All patients were followed-up for 10 months. The nasal length, nasal tip height, two nose tip distance, satisfaction with plastic surgery and postoperative adverse reactions were compared between the two groups. Results After surgery, the nasal tip height and two nose tip distance in two groups were improved, but compared with the control group, the nasal tip height in the observation group was increased significantly, and the two nasal tip distance in the observation group was decreased significantly, the difference was statistically significant(P<0.05). The satisfaction degree in the observation group was higher than that in the control group, and the incidence of postoperative adverse reactions in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion The application of autologous nasal alar cartilage transplantation in nasorostral hypertrophy plastic surgery has better effect with less adverse reactions, which has more clinical application value.%目的:探讨自体鼻翼软骨移植在鼻尖综合整形术中的应用效果.方法:选取2015年9月至2016年8月到本院接受鼻尖综合整形术的56例患者为研究对象,随机分为观察组和对照组,每组28例.观察组则采用自体鼻翼软骨,抬高鼻小柱进行鼻整形;对照组采用膨体假体.术后随访10个月,比较两组患者的鼻长、鼻尖高度、鼻尖两顶尖距离、手术满意度及术后不良反应情况.结果:术后,两组患者的鼻尖高度、鼻尖两顶尖距离都有显著改善,但与对照组相比,观察组患者的鼻尖显著增高,鼻尖两顶尖距离显著减少,差异有统计学意义(P<0.05);观察组患者满意度高于对照组,且术后不良反应发生率明显低于对照组,差异有统计学意义(P<0.05).结论:采用自体鼻翼软骨移植进行鼻尖综合整形术,效果好,不良反应少,更有临床应用价值.
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