周柯 宋琦 刘小胜 梁海彬

    [摘要]目的：探讨自体腹直肌筋膜包裹肋软骨颗粒在鼻整形手术中的效果。方法：2018年10-2020年8月收治的193例就医者，所有就医者均采用自体肋软骨条搭建支架支撑鼻尖，自体腹直肌筋膜包裹肋软骨颗粒填充鼻背术式。术后随访并拍照，记录两组术后并发症发生情况，评估临床效果及满意度。结果：术后随访6～18个月，就医者术后恢复时间为(8.1±1.4)d，满意度评分为4.2分。术后3例(1.5%)出现肋软骨术区积液，其中1例于术后24 h行清创术。5例(2.5%)就医者在术后6个月出现鼻尖突出度下降行调整术，4例(2%)出现鼻背轻度偏斜，于术后10 d内经手法塑形后改善。就医者总体对鼻背形态满意率高。结论：自体腹直肌筋膜包裹肋软骨颗粒填充鼻背术后效果好，对于具备手术适应证的初鼻就医者和术后二次修整的就医者是一种可行的手术方法。

    [关键词]自体肋软骨;颗粒软骨;肋软骨支架;自体腹直肌筋膜;筋膜-软骨复合移植物;鼻整形术

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2022)05-0076-03

    Application of Autologous Rectus Abdominis Fascia-encapsulated Rib Cartilage Particles in Rhinoplasty

    ZHOU Ke，SONG Qi，LIU Xiaosheng，LIANG Haibin

    (Department of Plastic Surgery，Chengdu Tongquetai Cosmetic Surgery Hospital，Chengdu 610000，Sichuan，China)

    Abstract： Objective To investigate the effect of diced cartilage grafts wrapped in rectus abdominis fascia in rhinoplasty. Methods From October 2018 to August 2020， among the 193 patients， 15 were male and 178 were female.146 cases underwent primary rhinoplasty， and 47 cases underwent revision after initial rhinoplasty. The nasal tip was supported by costal cartilage scaffold ......