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目的 介绍用自体鼻中隔软骨充填鼻背凹陷的方法。方法 按常规鼻中隔矫正术切取鼻中隔软骨 ,根据鼻背凹陷的不同程度和部位 ,将充填软骨修削成单层卵圆形 ,或将软骨分割成 2～ 3块叠加后缝合在一起 ,或将软骨制成倒“V”形 ,根据鼻背凹陷的大小和形状进行鼻背部充填。结果 43例患者短期效果全部满意 ,3 0例经 6个月至 5年随访 ,其中 3例软骨有轻度吸收 ,鼻背稍凹陷 ,其余均较满意。结论 自体鼻中隔软骨充填鼻背整形 ,取材在同一手术野内完成 ,方法简便易行 ,软骨能与周围组织融合在一起 ,无排斥反应 ,长期效果较好 ,可作为鼻背美容整形的选择材料
Objective To introduce a method of filling nasal septum with autologous septal cartilage. Methods The nasal septal cartilage was dissected according to the routine nasal septoplasty. According to the degree and location of the nasal dorsal recess, the filled cartilage was dissected into a single oval or the cartilage was divided into 2 to 3 pieces and sutured together or the cartilage Made of inverted “V” shape, according to the size and shape of the nose dorsal nasal dorsal filling. Results All the 43 patients were satisfied with the short-term results. 30 patients were followed up for 6 months to 5 years. Three of them had slight absorption of cartilage and slightly depressed nose and back. The rest were satisfied. Conclusions Autologous nasal septal cartilage filled with nasal dorsal plastic surgery, drawing in the same surgical field to complete, the method is simple and easy, cartilage can be fused with the surrounding tissue, without rejection, long-term effect is good, can be used as the nose back cosmetic material selection