改良killian入路隆鼻手术的临床应用(1)
摘要：目的 对于改良型的killian入路隆鼻手术在临床上的应用进行研究和探讨。方法 以本院从2014年1月～2016年6月收治的42例隆鼻术患者作为研究对象，在患者一侧鼻中隔尾端2～3 mm左右的部位进行单侧长度为1.5 cm左右的切口，并且用D形刀在软骨的便秘面进行鼻粘膜的剥离，随后向上进行选人的突破，紧贴着患者的比估摸以及侧壁软骨来进行假体腔隙的剥离，随后完成事先准备的好的假体置入。结果 对于完成该良型的killian入路隆鼻手术的患者42例采用临床回访6～12个月，期间没有发现假体变形的状况，而且经过测量发现患者的鼻延长达到了2～3 mm。而且采用该良型的killian入路隆鼻手术后无变形，患者手术后的鼻外形相对自然而且手术后的鼻形也比鼻小柱胖企鹅来联合软骨缘切开发隆鼻术更为漂亮。结论 采用该良型的killian入路隆鼻手术总体上操作的方法先对比较简单，而且能够避免患者鼻尖的损伤，最终能够使患者的鼻部能够获得轻度演唱，鼻部形态也更加的自然鼻尖组织的完整性也比传统方式更好，而且在手术过程当中还能够进行必行的调整，是一种较为理想的隆鼻入路的方式。
, 百拇医药
关键词：killian；切口；隆鼻术；鼻尖组织；
Abstract：Objective Study and discussion to application for improved Killian approach to rhinoplasty surgery in clinic. Methods In our hospital from January 2014 to June 2016 were 42 cases of augmentation rhinoplasty patients as the research object，the patients in the side of the nasal septum end 2 to about 3 mm parts of unilateral length is 1.5 cm around the incision and with D knife，peeling the surface of cartilage in the nasal mucosa of constipation，subsequent to the election on the break，close to the patient than reckon as well as side wall cartilage stripping lacuna prosthesis， prepared good prosthesis implantation. Results For the completion of the following completion of the Killian approach in rhinoplasty surgery in 42 patients with the clinical follow-up 6 ～ 12 months，found no prosthesis deformation condition during and after the measurement，found that patients with nasal extension reached 2 ～ 3 mm.and using the Killian approach in rhinoplasty hand No deformation after surgery，nose after surgery and nose surgery after the relative nature is better than a fat penguin to joint cartilage nasal columella margin development rhinoplasty is more beautiful. Conclusion The benign type Killian approach long nose surgery on the whole operation method of relatively simple，but also can avoid the patient the tip of the injury，and ultimately enable patients to get mild nasal singing，the integrity of the nasal shape more natural nose tissue is better than traditional methods，but also can be adjusted in the operation process，which is an ideal approach to rhinoplasty.
, http://www.100md.com
Key words：Killian；Incision；Rhinoplasty；Nasal tip tissue
當前的鼻整形手术按照入路的不同可以分为开放以及闭合鼻整形术两种。本院对2014年1月～2016年6月收治的42例隆鼻术患者采用该良型的killian入路法来进行柳叶形假体隆鼻术，并且取得了较好的效果。现将具体情况报告如下。
1 资料与方法
1.1一般资料 本次临床研究纳入的患者为2014年1月～2016年6月收治的42例隆鼻术患者，所有患者均为女性；年龄从20～34岁。患者的临床表现为鼻长度略短、鼻背的高度相对较低以及鼻孔的轻度外露。虽有所有的患者采用分组手术的方式，对于病例的筛选状况基本上保持一致。A组的患者共有21例，采用改良型的killian入路法来进行柳叶形的假体植入隆鼻，B组的21例患者则采用目前传统的鼻小柱旁切开联合软骨缘切开实行L形假体的隆鼻手术。, http://www.100md.com(鲁黎)
, 百拇医药
关键词：killian；切口；隆鼻术；鼻尖组织；
Abstract：Objective Study and discussion to application for improved Killian approach to rhinoplasty surgery in clinic. Methods In our hospital from January 2014 to June 2016 were 42 cases of augmentation rhinoplasty patients as the research object，the patients in the side of the nasal septum end 2 to about 3 mm parts of unilateral length is 1.5 cm around the incision and with D knife，peeling the surface of cartilage in the nasal mucosa of constipation，subsequent to the election on the break，close to the patient than reckon as well as side wall cartilage stripping lacuna prosthesis， prepared good prosthesis implantation. Results For the completion of the following completion of the Killian approach in rhinoplasty surgery in 42 patients with the clinical follow-up 6 ～ 12 months，found no prosthesis deformation condition during and after the measurement，found that patients with nasal extension reached 2 ～ 3 mm.and using the Killian approach in rhinoplasty hand No deformation after surgery，nose after surgery and nose surgery after the relative nature is better than a fat penguin to joint cartilage nasal columella margin development rhinoplasty is more beautiful. Conclusion The benign type Killian approach long nose surgery on the whole operation method of relatively simple，but also can avoid the patient the tip of the injury，and ultimately enable patients to get mild nasal singing，the integrity of the nasal shape more natural nose tissue is better than traditional methods，but also can be adjusted in the operation process，which is an ideal approach to rhinoplasty.
, http://www.100md.com
Key words：Killian；Incision；Rhinoplasty；Nasal tip tissue
當前的鼻整形手术按照入路的不同可以分为开放以及闭合鼻整形术两种。本院对2014年1月～2016年6月收治的42例隆鼻术患者采用该良型的killian入路法来进行柳叶形假体隆鼻术，并且取得了较好的效果。现将具体情况报告如下。
1 资料与方法
1.1一般资料 本次临床研究纳入的患者为2014年1月～2016年6月收治的42例隆鼻术患者，所有患者均为女性；年龄从20～34岁。患者的临床表现为鼻长度略短、鼻背的高度相对较低以及鼻孔的轻度外露。虽有所有的患者采用分组手术的方式，对于病例的筛选状况基本上保持一致。A组的患者共有21例，采用改良型的killian入路法来进行柳叶形的假体植入隆鼻，B组的21例患者则采用目前传统的鼻小柱旁切开联合软骨缘切开实行L形假体的隆鼻手术。, http://www.100md.com(鲁黎)