84 例基于三脚架结构改建的鼻尖综合整形术的临床总结.

Objective: To introduce experience of application of alar cartilage three tripod structure reconstruction in comprehensive nasal tip rhinoplasty. Methods: From September 2012 to February 2015, primary comprehensive nasal tip plasty in 84 cases were performed in our institute. 3 cases were men and 81 cases were women. From 20 to 45 years old, with an average age of 31.7 years. 65 cases have hypertrophy noses with low dosum, who have been performd with alar cartilage suture+alar cartilage resection+prosthesis implantation+autologous bonnet cartilage transplantation operation. 19 cases have hypertrophy nasal tip and low dorsum combined with short columella, who have been performed with autogenous cartilage for columella support+alar cartilage resection+alar cartilage suture+prosthesis implantation+autologous bonnet cartilage transplantation. Results: The 84 patients were followed up for 1 months-2years, except 1 case had dissatisfied nasal tip shape because of preoperative hypertrophy noses. Other cases had obvious change of nasal tip angle, cases with short columella also had obvious length change of columella, the scars and complications were not obvious. Conclusion: For different condition of alar cartilage development of the patients, using personalized alar cartilage tripod structural remodeling of nasal tip comprehensive surgery can achieve better clinical effect, this should be chosen according to the different characteristics of the patients. [ABSTRACT FROM AUTHOR]