【摘要】 目的:介绍隆鼻术中鼻假体的选择与雕刻的方法。方法:了解受术者的要求,用一根牙签放于鼻根(眉头与内眦中点连线的中点)与鼻尖中点,将牙签一端抬离鼻尖点约2￣4mm,从侧面观察决定需要垫高的高度及形状,据此选择适当的假体并对假体进行相应的雕刻。结果:3年中应用上述方法进行隆鼻术50例,切口甲级愈合,无感染,电话随访1￣2年,外形满意,无假体外露,无排斥反应。一些国产的鼻假体型号较全,不需太多雕刻,使用方便。进口硅橡胶假体和聚四氟乙烯鼻假体型号单一,需要较多的雕刻。结论:根据鼻畸形的外形,确定所需的假体的形状与厚度,选择适当的假体经适当的雕刻,制成个性化的假体,才能取得满意的疗效。更多还原

【Abstract】 Objective To introduce a method of choosing and sculpturing of implants in augmentation rhinoplasty.Methods Understand the patients’ expectation. Put a toothpick on the nasal midline with one end at the midpoint of the line between the midpoints of the eyebrows and the canthi.Carry another end of the toothpick 2~4 mm above the tip. Watch from the lateral, the shape and hight needed to be augmented are obtained. According to this observation choose and sculpture the implant. Results 50 persons underwent augmentation rhinoplasty by above mentioned method in the past 3 years. The incisions healed primarily without infection. They were followed up 1～2 years, the results were satisfactory. There was no implant exposure and rejection. The serial implants being made in China have various types and need little sculpture, thus are convenient. The types of the imported silicon implants and expanded polytetrafluorethylene implants are limited and need more sculpture. Conclusion In order to obtain satisfactory result we should perform augmentation rhinoplasty as following. Determine the shape and hight needed to be augmented according to the nasal shape. Then chose implant and sculpture it into a personal implant.更多还原