1、病历比医疗美容医院隆算术手术记录姓名Name年舲Age性别Sex男M女F病历号MRN手术日期Dateofoperation手术长师MainPhysician麻醉医，Anaesthesia助理医师Assistphysician洗手护士Hand-washednunc巡回护士Ondutynurse手术日期：年月日Opcrationdatc:Yymmdd开始时间，时分Star1.ingtime:hourmunitc结束时间：时分Rnishingtime:hourmunitc手术名称1B1.鼻术SUgyonnMe术前检iExaminationbeforeCPenIIion1.专科检查Majorchock
2、用皮肤Skinofnosc:疤痕Sear口无No口有YeS部位POSiIiOn大小：口大bi口小Smau见外形ShaNofnO史：口鼻根部较低1.ownasion口丛的较低1.owbackofnose口鼻背隆起UPheaVa1.ofbaCkofnoSeDftrfI11IKisunkenofbackofnose口母尖If1.Iwiroundandco1.1.apseofnosetip口毋尖过长1.ongnose1.ip口算尖朝天NoSCuPtosky口算尖下垂NoSCuPdgP口弁频宽屏thickandWidcaMcofthcnosc口鼻孔较大BiEnostri1.口鼻孔对不对称Unmatche
3、dnostri1.口右（左）例较大bigontheright（1.cft）nose孙小柱（正常，歪斜，钩状）其f，W前庭Nasa1.fossae正常Norma1.口不正常Abnorma1.2,血常规B1.oodroutinc有（无异雷异常项目：手术记录Operationrcis1仰卧位.常规消毒铺巾.1.ayontheback,regu1.ardisinfectionoftowe1.2美兰标出鼻尖最高点、黄金点（用间中点与双内眦连线的中点连线的中点Markingthetopofnosetipandthefinestbyusingmethy1.eneb1.uc,（corcofg1.abe1.1.
4、aandthecoreofconnectedinnercanthus）31%利多卡因（含肾上胞素h10万）做鼻尖鼻背、两舔我、鼻小柱皮下浸润麻醉.13IidoCaineUndDding1:IOmi1.1.ionadrena1.in）soakedanaesthesiaontip.back.bridgeofnose.4根据受术者原有的外形和本人的要求选择算假体.”1.形（柳叶型）或【形（一字型）Orr硅胶（PTFE）银体做近其曲里,使假体股面与鼻背的曲度相应，且假体背面弧度尽可能满足私外形的要求.ChoosinfithenoseProSthCSiSaccordingtotheshapeofthen
5、oseandtherequirementofthepaticnts.1.shapeCHiCaprosthesisasPrOPCTscu1.pturesothatmatchtheventra1.aspectofprosthesisMiantosatisfytheshapeOfnoseaspossib1.easitcan.6用眼科剪刀使鼻端上皮肤与其下面软骨分离,与小柱皮下间隙分离至前A棘。剪刀沿弁下端正中向上分离至梨状孔卜缘.骨膜剥离器沿鼻骨正中戏于件腹下分离，上至黄金点带上方.其腔隙略宽于置入的假体，A正中线两的腔隙尽可能大小对称。Separatingtheskinofnoseandgrist
6、1.edownsidebuusingophtha1.micsicissor.7自切口钻入外假体，仔细观察鼻正面、侧面、鼻尖、出小柱外形。不足之处矫正。InsertingnoseprosthesisthroughCUtJakinSacarefu1.observationtothefrontsidc,nosctp,co1.umc1.1.anasi.Co11cctingwhenitwasinadequate.8受术者坐位，用镜子观察a外形。满意后缝合皮肤切口外孔内可填泥纱球以压迫止血。PatientssittingontheSea1.JOokattheshapeofnoseinthemi11or.Sewingthecutafterge1.satisfac1.ion.Pu1.tingtheyarmba1.1.intonostri1.topreventb1.eeding.术后用药TakingmedicineafterOferation记录者签名Signatureof支COnier手术者签名Signatureofdoctor医疗美容医院
