摘要目的:探讨鼻头肥大的判断及矫正的手术效果。方法:2017年9月至2019年9月，重庆美莱整形美容医院整形外科入选鼻头肥大、鼻翼形态欠佳患者60例(男10例，女50例；年龄18～48岁，平均29岁)进行手术矫正。根据支架构建不同设定A组30例，取自体鼻中隔软骨＋筛骨垂直板＋(单/双侧)耳软骨作为支架；B组30例，取右第6/7肋软骨作为支架。于术前、术后24个月，测量鼻尖突出度，鼻长度，鼻宽度，鼻翼基底宽度，鼻尖两顶点间距离，并进行统计学分析。结果:两组患者术后鼻尖突出度，鼻长度明显增加( t值分别为20.831、13.029，均 P<0.05)，鼻宽度，鼻翼基底宽度，鼻尖两顶点间距离明显缩小( t值分别为8.461、11.877、16.122，均 P<0.05)。经6个月至2年随访，60例患者除2例因鼻翼矫正不足欠满意，1例因伤口愈合不良欠满意， 2例失访外，其余55例形态满意。 结论:以鼻头调整为主，突出鼻尖表现点，调整与鼻头相关的鼻梁、鼻翼等亚单元、改善颧部、额部，颏部等面部比例和高光阴影对照等表现，从视觉上缩小鼻头，效果满意。

abstractsObjective:To investigate the methods and effects of judging and surgically correcting the Asian wide and bulbous nasal tip.Methods:For shrinking the tip of nose and making the nose look more harmonious, we not only dealt with the nasal tip, also the nasal dorsum, nasal alar, nasal threshold, inside pedal and nasal base. In two years, we measured the changes before and after operation in 60 patients (10 males and 50 females, age arange from 18 to 48 years, with average of 29 years. Group A included 30 cases, using auricular cartilage and nasal septum as support; Group B included 30 cases and costal cartilage was used.Results:The prominence of nasal tip, the length of nose were increased ( t=20.831, 13.029, P<0.05); the width of the nose and nasal aral basal and nasal tips were reduced ( t=8.461, 11.877, 16.122, P<0.05). After the follow-up, 55 patients were satisfied, 3 were dissatisfied, and 2 were lost to follow-up. Conclusions:The nasal tip hypertrophy is obviously corrected by using this procedure with a natural and harmonious appearance.