Ezrokhin V M, Nikitin A A
Stomatologiia (Mosk). 1998;77(6):34-6.
Remote results of treatment are analyzed in 10 patients with deformations of the nose combining a shortened nose and pulled in skin of the septum. The patients were operated on according to Burian. Good results were obtained in 4 cases, satisfactory in 5. A higher share of satisfactory results of Burian's operation is explained by the fact that it is very difficult to draw down the thick porous skin into a proper position, particularly at the tip of the nose. Additional operations are needed, deteriorating the cosmetic effect. The method proposed by the authors yields better results: 89% good and 16% satisfactory. The intervention is aimed directly at removal of the deformation and tissue defect. Mutual transposition of three flaps, one of which is a drawn columella and two other flaps from the upper lip fill the mucosal defect, repairs the pulled in skin part of the septum and elongates the tip of the nose. In addition, transposition of skin flaps from the upper third of the upper lip to the site of mucosal defect shortens the height of the upper lip, thus creating a correct proportion of the middle and lower thirds of the face.
对10例合并鼻尖缩短和鼻中隔皮肤内陷的鼻畸形患者的治疗远期效果进行了分析。这些患者按照布里安方法进行手术。4例取得了良好效果，5例效果满意。布里安手术较高比例的满意效果是因为很难将厚实多孔的皮肤下拉到合适位置，尤其是在鼻尖处。需要进行额外手术，这会降低美容效果。作者提出的方法效果更好：89%为良好效果，16%为满意效果。该手术直接针对去除畸形和组织缺损。三个皮瓣相互换位，其中一个是下拉的鼻小柱，另外两个皮瓣取自上唇，填充黏膜缺损，修复鼻中隔内陷的皮肤部分并延长鼻尖。此外，将上唇上三分之一的皮瓣转移到黏膜缺损部位可缩短上唇高度，从而使面部中下部三分之一形成正确比例。
