林军，肖燕，黄莹滢，常梦玲，刘军，欧阳天祥（上海交通大医院整形外科上海）
[摘要]目的：探讨长盾形和多层盖板耳廓软骨移植物在鼻尖塑造中的应用。方法：在分离、修整、缝合下外侧软骨穹窿部的基础上，于耳后颅耳沟切口切取耳廓软骨，修剪成长盾形及2～3块盖板移植物，用于鼻尖的塑形。结果：共11例患者，随访时间6～24月，效果满意，无严重并发症发生。结论：长盾形和多层盖板耳廓软骨移植物可以良好的修饰鼻尖，取材方便，操作简单，效果肯定。[关键词]鼻尖整形；长盾形移植物；多层盖板移植物Theuseoftheextendedcolumellarstrut-tipgraftandmultipliedonlaygrafttomodifynasaltipinrhinoplastyLINJun,XIAOYan,HUANGYing-ying,CHANGMeng-ling,LIUJun,OUYANGTian-xiang(DepartmentofPlasticandReconstructiveSurgery,XinhuaHospitalAffiliatedtoShanghaiJiaotongUniversitySchoolofMedicine,Shanghai,China)Abstract:ObjectiveToexploretheusageoftheextendedcolumellarstrut-tipgraftandmultipliedonlaygraftincorrectionofnasaltipinrhinoplasty.MethodsThelowlateralcartilagesweredetached,trimedandsuturedaccordingpatientssituation.Theauriclecartilagewasachievedfromcranio-auriculargrooveinsicionandsculpturedtoanextendedcolumellarstrut-tipgraftand2~3picecesofonlaygraft,whichwerethenfixedonsuturedalarcartilagestomodifynasaltip.ResultsTotal11caseswerefollowedupto6～24months,postoperativeresultsweresatisfied,andnosevere北京最好白癜风医院北京治疗严重白癜风的医院
