软骨间联合张力跨位缝合在歪鼻矫正中的应用

袁菊; 郑涛; 杨田野; 李甜; 刘纬驰; 温磊; 邵英

doi:10.13201/j.issn.1001-1781.2017.20.006

软骨间联合张力跨位缝合在歪鼻矫正中的应用

- 吉林大学白求恩第一医院整形美容科(长春, 130021)

详细信息

通讯作者: 邵英, E-mail:leleshao@hotmail.com

中图分类号: R765.7

收稿日期: 2017-07-19

Suture under tension across cartilage in the application of the crooked nose surgery

- Department of Plastic Surgery, the First Affiliated Hospital of Jilin University, Changchun, 130021, China

More Information

Corresponding author: SHAO Ying, E-mail: leleshao@hotmail.com

Received Date: 19 July 2017

摘要

摘要: 目的: 采用软骨间联合张力跨位缝合稳固新建的鼻支架,均衡两侧软骨不对称力量,减少术后歪鼻的复发。方法: 临床治疗39例歪鼻畸形患者,均取鼻中隔软骨制作L型支架,软骨间使用联合张力跨位缝合牢固固定。同期隆鼻,应用于歪鼻畸形I型偏斜21例,C形畸形12例,S形畸形6例。结果: 术后随访1~5年对歪鼻矫正程度进行分级,优30例(76.92%),良6例(15.38%),中3例(7.69%),优良率为92.31%(36/39)。Ⅰ型改善率为80.3%,C型为83.6%,S型为84.1%,整体改善率为81.9%。结论: 软骨间联合张力跨位缝合能有效固定重建的鼻支架,提高术后效果,减少歪鼻复发,手术操作简单,是歪鼻畸形矫正术中不可或缺的组成部分。
- 歪鼻 /
- 软骨 /
- L-支架 /
- 隆鼻
Abstract: Objective: Observing the effect of maintain tension across suture between cartilages to fix new nasal structure on balance the asymmetric strength of the two sides of the cartilage and the recurrence of the postoperative crooked nose.Method: A L-shaped struct made of the nasal septum cartilage were fixed to maintain tension across structure between cartilage during rhinoplasty in 39 patients with crooked nasal deformity. Of 21 cases were type I deviation, of 12 cases were C-shaped deviation, and of 6 cases were S-shaped deviation.Result: A 1-5 years follow-up were performed. The effects were divided into three degrees:30 cases excellent (76.92%), 6 cases good (15.38%) and 3 cases acceptable (7.69%). The rate of excellent and good was 92.31% (36/39). The type I improvement rate was 80.3%, the rate of type C was 83.6% and the improvement rate of type S was 84.1%, the overall improvement rate was about 81.9%.Conclusion: Suture under tension across cartilage can fix reconstruction of nasal structure effectively, improve the postoperative effect, reduce recurrence of crooked nose. The operation is simple and is an essential part of the nasal deformity correction technique.
- crooked nose /
- cartilage /
- L-strut /
- rhinoplasty

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