自体肋软骨移植构建鼻尖软骨复合体在鼻整形手术中的美学效果

目的 探究鼻整形手术中鼻尖软骨复合体采用自体肋软骨移植构建的美学效果。方法 选取2022年 7月-2023年7月于我院进行鼻整形的患者169例，按照随机数字表法分为A、B两组，A组84例，B组85例。 A组构建鼻尖软骨复合体时使用膨体聚四氟乙烯材料，B组使用自体肋软骨材料，比较两组外观满意度、鼻 唇角、鼻面角、额鼻角及鼻背高度测量值。结果 B组外观满意度为87.06%，高于A组的57.14%（P＜0.05）；两 组治疗后鼻唇角、鼻面角、额鼻角均高于治疗前，且B组高于A组（P ＜0.05）；两组治疗后鼻背高度均高 于治疗前（P ＜0.05），但两组治疗后鼻背高度比较，差异无统计学意义（P ＞0.05）。结论 鼻整形手术中 鼻尖软骨复合体采用自体肋软骨移植构建可提升外观满意度，增加鼻唇角、鼻面角、额鼻角及鼻背高度。

Aesthetic Effect of Autologous Rib Cartilage Grafting to Construct Nasal Tip Cartilage Complex in Rhinoplasty

Objective To analyze the aesthetic effect of autologous rib cartilage grafting to construct nasal tip cartilage complex in rhinoplasty. Methods A total of 169 patients who underwent rhinoplasty in our hospital from July 2022 to July 2023 were selected and divided into group A and group B according to the random number table method, 84 patients in group A and 85 patients in group B. The patients in group A were treated with nasal plastic surgery. Group A used expanded polytetrafluoroethylene material to construct nasal tip cartilage complex, and group B used autologous costal cartilage material. The postoperative appearance satisfaction, the measurement values of nasolabial angle, nasal facial angle, frontal nasal angle and nasal dorsum height were compared between the two groups. Results The appearance satisfaction of group B was 87.06%, which was higher than 57.14% of group A (P <0.05). After treatment, the nasolabial angle, nasal facial angle and frontal nasal angle in the two groups were higher than those before treatment, and those in the group B were higher than those in the group A (P <0.05). The nasal dorsum height of the two groups after treatment was higher than that before treatment (P <0.05), but there was no significant difference in the nasal dorsum height between the two groups after treatment (P >0.05). Conclusion In rhinoplasty, nasal tip cartilage complex constructed by autologous costal cartilage can improve the appearance satisfaction, increase the nasolabial angle, nasal facial angle, frontal nasal angle and nasal dorsum height.