Gao Feng, Yin Ning-bei, Ji Ying, Song Tao, Li Hai-dong
Plastic Surgery Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2011 Mar;22(2):614-6. doi: 10.1097/SCS.0b013e31820873e5.
To introduce the use of alar cartilage as tip grafts in secondary silicone augmentation rhinoplasty in Chinese patients and to assess its short-term results in nasal tip modification.
Eight Chinese patients who were not satisfied with a primary silicone augmentation rhinoplasty because of unimproved short nose, less projection, and bad nasal tip definition were treated with this method. The lateral crura were transected from the caudal ends, turned over, placed on the implanted silicone, and sutured together. Photo documentations were obtained before and after surgery, and a questionnaire was used for the evaluation of short-term patient satisfaction.
After a mean follow-up period of 15 months, all 8 patients showed an increased nose length, tip projection, and improved tip contour. Seven thought the results were excellent, and 1 thought the results were good. The outcomes remained unchanged over time. No complications or nasal deformities were noted.
The use of alar cartilage as tip grafts provides a new option for Chinese patients who were dissatisfied with primary silicone augmentation rhinoplasty, specially those with short nose, less projection, and bad nasal tip definition.
介绍鼻翼软骨作为鼻尖移植材料在接受二次硅胶隆鼻术的中国患者中的应用，并评估其在鼻尖塑形方面的短期效果。
8例因短鼻改善不佳、鼻尖突出度欠佳及鼻尖形态不佳而对初次硅胶隆鼻术不满意的中国患者接受了该方法治疗。将外侧脚从尾端切断，翻转后置于植入的硅胶上并缝合在一起。术前和术后均进行了照片记录，并使用问卷调查来评估患者的短期满意度。
平均随访15个月后，所有8例患者的鼻长、鼻尖突出度均增加，鼻尖轮廓改善。7例认为效果极佳，1例认为效果良好。随着时间推移，结果保持不变。未观察到并发症或鼻部畸形。
鼻翼软骨作为鼻尖移植材料为对初次硅胶隆鼻术不满意的中国患者，特别是那些有短鼻、鼻尖突出度欠佳及鼻尖形态不佳的患者提供了一种新的选择。
