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自体骨结合鼻翼旋转皮瓣在鼻翼内陷重建中的应用

Application of autogenous bone combined with rotatory flap of alar in reconstruction of alar invagination
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摘要 目的探讨自体骨结合鼻翼旋转皮瓣在鼻翼内陷重建中的应用效果。方法在医院整形外科2016年6月至2019年2月期间诊治的鼻翼内陷重建术患者中选取60例作研究对象,术中应用自体骨结合鼻翼旋转皮瓣进行治疗,比较本组患者治疗前后的手术指标差异以及手术效果满意度。结果①本组患者术后鼻孔直径、鼻翼基线与面中线间距均缩小,鼻坎高度升高(t=7.727、4.201、14.893、8.454,均P=0.000);②本组患者共60例,十分满意者43例,基本满意者16例,不满意者1例,其手术治疗效果满意度是98.33%。结论自体骨结合鼻翼旋转皮瓣用于鼻翼内陷重建术中优势突出,且患者对手术效果的满意度较高,符合鼻整形美学原则。 Objective To investigate the effect of autogenous bone combined with rotatory flap of alar in reconstruction of alar invagination.Methods 60 patients with nasopharynx invagination who were diagnosed and treated during the period from June 2016 to February 2019 in the hospital plastic surgery were selected as the research objects.During the operation,autogenous bone combined with rotatory flap of nasopharynx were used for treatment,and the differences of operation indexes and satisfaction of operation results before and after the treatment were compared.Results①The diameter of nostril,the distance between the base line of alar and the midline of face were all reduced,and the height of the nasal ridge was increased(t=7.727、4.201、14.893、8.454,(P=0.000);②There were 60 patients in this group,43 of whom were very satisfied,16 of whom were basically satisfied,and 1 of whom were not satisfied.The satisfaction rate of surgical treatment effect was 98.33%.Conclusion Autogenous bone combined with rotatory flap of alar is superior in the reconstruction of alar invagination,and the patients are satisfied with the operation effect,which accords with the aesthetic principle of rhinoplasty.
作者 张卫民 王江允 杨灿 ZHANG Wei-min;WANG Jiang-yun;YANG Can(Plastic surgery department,Zhumadian central hospital,Henan Province,463000,China;Medical cosmetology,The third people’s hospital of zhengzhou,Henan Province,450000,China;Cosmetic dermatology,Zhumadian central hospital,Henan Province,463000,China)
出处 《中国医疗美容》 2019年第12期28-31,共4页 China Medical Cosmetology
关键词 自体骨 鼻翼旋转皮瓣 鼻翼内陷重建术 手术指标 满意度 autogenous bone rotatory flap of alar reconstruction of alar invagination operative index satisfaction
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