自體軟骨鼻整形術治療先天性鼻畸形的效果

[摘 要]目的 分析對先天性鼻畸形患者給予自體軟骨鼻整形術治療的效果。方法 選取2021年4月-2023年12月我院收治的54例先天性鼻畸形患者為研究對象，以隨機數字表法分為參照組和分析組，每組27例。參照組行硅膠假體鼻整形術治療，分析組行自體軟骨鼻整形術治療，比較兩組鼻部相關測量參數、手術不良結局發生率、并發癥發生率及整形效果滿意度。結果 分析組治療后鼻寬度、鼻尖高、鼻突角均優于參照組，差異有統計學意義（P<0.05）；分析組手術不良結局發生率為0，低于參照組的14.81%，差異有統計學意義（P<0.05）；分析組并發癥發生率為3.70%，低于參照組的25.93%，差異有統計學意義（P<0.05）；分析組整形效果滿意度為96.30%，高于參照組的74.07%，差異有統計學意義（P<0.05）。結論 自體軟骨鼻整形術治療先天性鼻畸形的效果優于硅膠假體鼻整形術，能有效改善鼻部相關測量參數，同時可降低手術不良結局發生率及并發癥發生率，提高整形效果滿意度，值得臨床應用。

[關鍵詞] 自體軟骨整形術；硅膠假體鼻整形術；先天性鼻畸形；手術不良結局

[中圖分類號] R763； R622 [文獻標識碼] A [文章編號] 1004-4949（2024）15-0098-04

Effect of Autologous Cartilage Rhinoplasty in the Treatment of Congenital Nasal Deformity

HU Kai1， LIU Pan2

（1.Beijing Meijila Medical Beauty Hospital， Beijing 100097， China； 2.Shenzhen Jumei Baiyue Medical Beauty Clinic， Shenzhen 513000， China）

[Abstract]Objective To analyze the effect of autologous cartilage rhinoplasty in patients with congenital nasal deformity. Methods A total of 54 patients with congenital nasal deformity admitted to our hospital from April 2021 to December 2023 were selected as the research objects. They were divided into reference group and analysis group by random number table method， with 27 patients in each group. The reference group was treated with silicone prosthesis rhinoplasty， and the analysis group was treated with autologous cartilage rhinoplasty. The nasal related measurement parameters， incidence of adverse surgical outcomes， incidence of complications and satisfaction with plastic effects were compared between the two groups. Results After treatment， the nasal width， nasal tip height and nasal protrusion angle of the analysis group were better than those of the reference group， the difference was statistically significant （P<0.05）. The incidence of adverse surgical outcomes in the analysis group was 0， which was lower than 14.81% in the reference group， the difference was statistically significant （P<0.05）. The incidence of complications in the analysis group was 3.70 %， which was lower than 25.93 % in the reference group， the difference was statistically significant （P<0.05）. The satisfaction degree of plastic effect in the analysis group was 96.30%， which was higher than 74.07% in the reference group， the difference was statistically significant （P<0.05）. Conclusion Autologous cartilage rhinoplasty is superior to silicone prosthesis rhinoplasty in the treatment of congenital nasal deformity， which can effectively improve the nose.

[Key words] Autologous cartilage rhinoplasty； Silicone prosthesis rhinoplasty； Congenital nasal deformity； Adverse surgical outcomes

先天性鼻畸形（congenital nasal deformity）是指出生時便存在的鼻部異常情況，包括外鼻缺損、鼻裂、皮樣囊腫、先天性鼻贅、鼻側喙等類型[1]。該病主要是由于遺傳因素影響，使患者在胚胎期顏面原基發育不良或顏面各隆突融合不全所致[2]。患者多存在鼻子裂開、鼻背凹陷、鼻梁彎曲、鼻尖偏向一側等癥狀，如未積極治療，長此以往，影響患者的面部美觀，不利于患者的身心健康發展[3，4]。……