摘要
功能性鼻整形旨在改善鼻腔通气功能的同时改善鼻部美学形态。支架移植技术是结构鼻整形的基础,目前在功能性鼻整形中亦被广泛运用。通过支架移植扩大鼻瓣角并支撑鼻侧壁等,能有效改善鼻腔通气。本文回顾鼻中隔支架、上外侧支架和下外侧支架等多种功能性鼻整形相关支架移植技术在临床中的应用。中隔撑开移植(SSG)和中隔延伸移植(SEG)适合鼻中隔偏曲患者改善鼻腔通气功能。蝶形移植(BG)和上外侧展开移植(ULSG)可有效降低内鼻阀气流阻力并防止外侧壁塌陷。外侧脚支撑移植(LCSG)和鼻翼缘移植(ARG)适合对外鼻阀形态和通气功能进行同步改善。人工合成材料在支架制作中的应用以及鼻内镜技术的引入,进一步提高了手术的效果和安全性。尽管如此,功能性鼻整形仍需根据个体差异进行个性化设计,未来需更多高质量随机对照试验以验证不同技术的远期有效性。
Functional rhinoplasty aims to improve nasal ventilation and aesthetic appearance.Graft implantation is the basis of structural rhinoplasty and is widely used in functional rhinoplasty,it can improve nasal ventilation by effectively widening the nasal valve angle and supporting the lateral nasal wall.This paper reviews the clinical application of various functional rhinoplasty graft techniques,including septal,upper lateral,and lower lateral grafts.Septal spreader graft(SSG)and septal extension graft(SEG)are suitable for patients with septal deviation to improve nasal ventilation.Butterfly graft(BG)and upper lateral splay graft(ULSG)can effectively reduce airflow resistance in the internal nasal valve and prevent lateral wall collapse.Lateral crural strut graft(LCSG)and alar rim graft(ARG)are suitable for simultaneous improvement of the morphology and ventilation function of the external nasal valve.The application of synthetic materials and endoscopic techniques further enhance surgical outcomes and safety.Nevertheless,functional rhinoplasty still requires personalized designs according to individual differences,and more high-quality randomized controlled trials are needed in the future to verify the long-term effectiveness of different techniques.
作者
童华
余庆雄
宋楠
张天宇
TONG Hua;YU Qingxiong;SONG Nan;ZHANG Tianyu(Department of Facial Plastic and Reconstructive Surgery,Eye&ENT Hospital,Fudan University,Shanghai 200031,China)
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
CSCD
2024年第4期51-55,共5页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
基金
上海市“科技创新行动计划”(21DZ2200700)。
关键词
功能性鼻整形
鼻中隔
鼻阻塞
软骨移植
Functional rhinoplasty
Nasal septum
Nasal obstruction
Cartilage graft
