摘要
目的探讨埋线隆鼻常见并发症的相关病因以及处理方法。方法回顾性分析于2017年1月至2018年1月收治的21例埋线隆鼻术后并发症患者的临床资料。其中牙龈部异位外露5例,鼻尖线头外露2例,血运障碍5例,感染6例,鼻部皮肤破溃3例。分析其病史和临床症状,结合相关文献探究其发病原因,并进行手术、抗炎、改善微循环等治疗。结果治疗后随访3~10个月,21例患者中,7例早期线头外露者预后较好;5例局部血运障碍者皮肤有局部色素沉着;6例感染者皮肤基本恢复正常;3例鼻部皮肤破溃者留下色素沉着及局部瘢痕。并发症多与埋线层次、材质、局部组织张力、术中操作、早期排异反应以及慢性炎性反应等相关。结论对埋线隆鼻术后并发症患者尽快手术取出线材,并进行术后综合治疗,可获得较好的预后。
Objective To investigate the complications and related etiologies after thread rhinoplasty.Methods From January 2017 to January 2018, 21 cases with postoperative complications after thread rhinoplasty were reviewed. The complications included thread exposure at gum (n=5), thread exposure at nose (n=2), compromised blood supply (n=5), infection (n=6), and ulceration (n=3). The medical history and clinical symptoms were analyzed.Results 7 patients with thread exposure have recovered. The localized hyperpigmentation was left on patients with compromised blood supply. The skin of the infection cases basically returned to normal. The hyperpigmentation and local scar left on the rest of patients. The causes of these complications are complex, including the threads buried plane, the threads textures, skin tension, surgical manipulation, the early rejection, and the chronic inflammation, etc.ConclusionsPatients, with complications after thread rhinoplasty, could obtain a better outcome, if timely operation and comprehensive treatment were provided.
作者
龙婕
姜南
徐扬阳
安纲
Long Jie;Jiang Nan;XuYangyang;An Gang(Department of Plastic Surgery of Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2018年第12期1055-1059,共5页
Chinese Journal of Plastic Surgery
关键词
隆鼻术
并发症
治疗
埋线
Augmentation rhinoplasty
Complication
Treatment
Barbed sutures
