摘要目的 探讨鼻成形术后重度挛缩鼻畸形的治疗方法及临床效果.方法 2014年3月至2016年6月,对中日友好医院整形外科19例因鼻成形手术造成鼻部严重挛缩畸形患者,采用术前手法牵引软组织,术中切取肋软骨,进行肋软骨结构移植搭建鼻部的支撑结构.结果 术后对19例患者随访5～27个月,挛缩鼻畸形得到纠正,鼻部外形满意,未再出现挛缩变形.结论 手法牵引改善软组织简便可行,自体肋软骨支架重建保证远期疗效,二者联合矫正医源性挛缩鼻畸形能达到远期鼻延长的良好效果.

abstractsObjective To explore the method and clinical effects of treatment for correcting severe contracture nasal deformity after rhinoplasty.Methods Totally 19 patients with severe contracture nasal deformity after rhinoplasty were treated with a new procedure in our hospital since March 2014.The soft tissue was treated with manual traction preoperatively to improve nasal skin and mucosa extensibility and flexibility.The costicartilage was taken as structure transplantation to build the nasal support structure.Results This group of patients were followed up for 5-27 months,contracture of nasal deformity was corrected and the shape of the nose was improved with no obvious contracture deformation.Conclusions Nasal shape is improved by nasal scaffold and coated tissue.It is a simple and feasible method to modify the condition of soft tissue by manual traction and autogenous costicartilage support reconstruction to ensure the long-term efficacy of backing;two combination therapy for correction of iatrogenic contracture nasal deformity can achieve better long-term nasal prolonged postoperative effect,which is suitable for clinical promotion.