鼻部骨、软骨结构重建充填物的选择及其效分析

Analysis of the grafts selection and clinical effect in the reconstruction of nasal bone and cartilage

关键词:  软骨  同种移植物  鼻整形

Key words:  cartilage  homograft  rhinoplasty

摘要:

［目的］探讨自体鼻中隔软骨和同种异体肋软骨移植在鼻整形手术中的应用效果。［方法］回顾性分析2006年1月～2010年12月采用自体鼻中隔软骨和同种异体肋软骨作为充填物矫正鼻背凹槽畸形51例患者的临床资料及手术疗效。其中，鞍鼻12例，骨鼻锥不对称3例，不规则性歪鼻27例，鼻中隔术后骨鼻锥与软骨鼻锥交界处凹陷9例。采用鼻中隔软骨片或压碎的网状软骨末充填移植43例；同种异体肋软骨充填移植8例。［结果］本组51例术后随访6～46个月，外形满意46例，满意率90.20%（46/51）。［结论］自体鼻中隔软骨和同种异体肋软骨因其具有良好的组织相容性、取材方便、并发症少、远期效果较好等优点，是鼻重建手术较好的移植材料。

Abstract:

［Objective］To observe the effect of autologous septal cartilage and allogenic costal cartilage in rhinoplasty. ［Method］ Dorsal onlay grafting was performed in 51 patients with autologous septal cartilage and allogenic costal cartilage from 2006 to 2010. Twelve patients were suffered from saddle nose malformation, 3 patients had nose pyramidal asymmetry malformation, 27 patients got irregular asymmetry nose malformation, and 9 patients were troubled from depression in the juncture of nasal osseous pyramid and cartilage pyramid after a nasal septum operation. ［Result］ All cases were followed up from 6 months to 46 months. Forty-six cases of them obtained cosmetic effect, with 90.20% (46/51) as satisfaction rate. ［Conclusion］ Autogenous septal cartilage and allogenic costal cartilage are safe and effective grafts for the reconstructive nasal surgery, with the advantages of good histocompatibility. It is easy to get material, with fewer complications and better long-term results.