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3D打印技术辅助自体肋软骨隆鼻术治疗有鼻根增高需求及唇裂修复后鼻畸形的患者

3D Printing Technique Assisted Autologous Costal Cartilage Augmentation Rhinoplasty for Patients with Radix Augmentation Needs and Nasal Deformity after Cleft Lip Repair.

作者信息

Li Haidong, Wang Jingyi, Song Tao

机构信息

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China.

出版信息

J Clin Med. 2022 Dec 15;11(24):7439. doi: 10.3390/jcm11247439.

Abstract

OBJECTIVE

to better reconstruct the nasal shape after cleft lip repair with 3D printing assisted autologous costal cartilage augmentation rhinoplasty, especially for patients with radix augmentation needs.

METHOD

20 patients with nasal deformity secondary to cleft lip repair and radix augmentation needs had received surgical treatment from July 2016 to November 2021. A total of 10 cases were treated with autologous costal cartilage augmentation rhinoplasty for nasal deformity after cleft lip repair, and 10 cases were treated with the help of 3D printing. According to the characteristics of nasal deformity, autologous costal cartilage was carved and implanted into the nose back.

RESULTS

3D printing assisted autologous costal cartilage augmentation in the treatment of nasal deformity after cleft lip repair, the incision healed well, and there were no complications in the thoracic cartilage donor area. The shape of the nose is satisfactory, the height and shape of the nose tip and the size of both nostrils are mostly symmetrical, the nasal columella is elongated, the original nose tip is flat, the collapse of the nose wing is satisfactory, and the nose lip angle is close to normal.

CONCLUSIONS

3D printing assisted autologous costal cartilage augmentation is an ideal treatment for nasal deformity after cleft lip repair.

摘要

目的

探讨3D打印辅助自体肋软骨隆鼻术在唇裂修复术后鼻外形重建中的应用效果,尤其适用于有鼻根增高需求的患者。

方法

选取2016年7月至2021年11月期间收治的20例唇裂修复术后鼻畸形且有鼻根增高需求的患者,其中10例行自体肋软骨隆鼻术修复唇裂术后鼻畸形,10例采用3D打印辅助治疗。根据鼻畸形特点,雕刻自体肋软骨并植入鼻背。

结果

3D打印辅助自体肋软骨隆鼻术治疗唇裂术后鼻畸形,切口愈合良好,胸廓软骨供区无并发症。鼻外形满意,鼻尖高度、形态及双侧鼻孔大小基本对称,鼻小柱延长,原鼻尖扁平、鼻翼塌陷改善满意,鼻唇角接近正常。

结论

3D打印辅助自体肋软骨隆鼻术是唇裂修复术后鼻畸形的理想治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2040/9781909/72f30bc84491/jcm-11-07439-g001.jpg

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