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目的:探讨一种适合于治疗鞍鼻或伴有鼻尖低平及外伤后鼻塌陷畸形患者的手术方法。方法:应用羟基磷灰石颗粒(颗粒状HA)经鼻小柱切口植入隆鼻术,观察患者对术后满意程度。结果:232例鼻整形病例中满意者219例,约占95%,基本满意11例,约占4%,不满意2例,约占1%。不满意的2例,为术后鼻尖隆起的高度不够,重新作’V’形切口,延长鼻小柱,且同时植入一3毫米球体于鼻尖部后,患者满意。结论:对于鞍鼻或伴有鼻尖低平及外伤后鼻塌陷畸形患者,利用羟基磷灰石颗粒经鼻小柱切口植入隆鼻术,可获满意效果。
OBJECTIVE: To explore a surgical method suitable for the treatment of patients with saddle nose or nasal apoplexy and traumatic nasal collapse. Methods: Hydroxyapatite particles (granulated HA) were implanted into the rhinoplasty via the columella and the degree of satisfaction of the patients was observed. Results: Among 232 cases of rhinoplasty, 219 cases were satisfactory, accounting for 95%. Almost satisfactory were 11 cases (about 4%), unsatisfied with 2 cases (about 1%). Unsatisfactory in 2 cases, postoperative nasal ridge up enough height to re-make a V-shaped incision to extend the columella, and at the same time implanted a 3 mm ball at the tip of the nose, the patient satisfaction. CONCLUSIONS: For patients with saddle nose or low nasal congenital and postnasal nasal collapse, hydroxyapatite particles can be used to implant rhinoplasty through the columella.