鼻翼软骨条移植：治疗鼻内、外瓣膜塌陷

Alar batten cartilage graft: treatment of internal and external nasal valve collapse.

作者信息

Cervelli Valerio, Spallone Diana, Bottini J Davide, Silvi Erminia, Gentile Pietro, Curcio Beniamino, Pascali Michele

机构信息

Department of Plastic and Reconstructive Surgery, University of Rome Tor vergata, Viale Oxford, V. U.Saba n 71, 00100, Rome, Italy.

出版信息

Aesthetic Plast Surg. 2009 Jul;33(4):625-34. doi: 10.1007/s00266-009-9349-5. Epub 2009 May 7.

DOI:10.1007/s00266-009-9349-5

PMID:19421808

Abstract

BACKGROUND

The aim of this study was to describe the efficacy of alar batten graft in correcting internal and external nasal valve collapse (i.n.v. and e.n.v.) and evaluate the functional and aesthetic results.

METHODS

From July 2006 to September 2008, 80 patients (54 females and 26 males) underwent alar batten cartilage grafting. The patients were divided into three groups: (1) 55 patients with iatrogenic nasal valve collapse (80% i.n.v., 20% e.n.v.), (2) 15 patients with posttraumatic nasal valve collapse (45% i.n.v., 55% e.n.v.), and (3) 10 patients with congenital nasal valve collapse (100% e.n.v.). Patients were evaluated at 6, 12, 24, and some at 36 months after surgery. The final follow-up was at least 24 months.

RESULTS

The results of this study revealed a significant increase in the size of the aperture at the internal or external nasal valve after the application of alar batten grafts. All the patients noted improvement in their nasal airway breathing and in their cosmetic appearance. No major complication was observed.

CONCLUSION

The alar batten graft is a simple, versatile technique for long-term reshaping, repositioning, and reconstruction of the nasal valve collapse.

摘要

背景

本研究的目的是描述鼻翼软骨条移植在纠正鼻内、外瓣膜塌陷（i.n.v.和e.n.v.）方面的疗效，并评估其功能和美学效果。

方法

2006年7月至2008年9月，80例患者（54例女性，26例男性）接受了鼻翼软骨条移植。患者分为三组：（1）55例医源性鼻瓣膜塌陷患者（80%为i.n.v.，20%为e.n.v.），（2）15例创伤后鼻瓣膜塌陷患者（45%为i.n.v.，55%为e.n.v.），（3）10例先天性鼻瓣膜塌陷患者（100%为e.n.v.）。在术后6、12、24个月以及部分患者在36个月时对患者进行评估。最终随访至少24个月。