Simons R L
Otolaryngol Clin North Am. 1975 Oct;8(3):717-42.
Modern day rhinoplasty demands more than a plan for a new nose. It requires consideration of the individual in terms of a new facial image. Adjacent skeletal and soft tissue weaknesses must be evaluated along with the primary nasal deformity. Frequently facial disharmonies may be corrected with relatively simple operative procedures or with cosmetics. When the procedure does not measurably increase the operative time, postoperative morbidity, or financial cose of the rhinoplasty, it will be more readily accepted by the patient. These criteria are considered in the suggested methods of chin augmentation with alloplastic implants and reduction mentoplasty, utilizing the intraoral subapical horizontal osteotomy of the mandible. At times, simple methods of camouflage will be inadequate. Significant jaw disharmony with unacceptable occlusion requires the interdisciplinary teamwork of the orthodontist, the surgeon, and possibly the prosthodontist. In these cases rhinoplasty waits upon skeletal and dental realignment. Almost without exception, the rhinoplasty patient appreciates and profits from the surgeon's concern over her general appearance. Advice regarding skin care, makeup, hair styling, and facial rejuvenation frequently aids that person in attaining a happy and satisfying rhinoplastic experience.
现代隆鼻术所需的不仅仅是一个打造新鼻子的方案。它需要从塑造新的面部形象的角度来考虑个体情况。除了主要的鼻畸形外，还必须评估相邻的骨骼和软组织缺陷。面部不协调问题通常可以通过相对简单的手术操作或化妆品来矫正。如果该手术不会显著增加隆鼻术的手术时间、术后发病率或费用，患者会更容易接受。在使用异体植入物隆下巴和下颌骨水平截骨颏成形术的建议方法中会考虑这些标准。有时，简单的掩饰方法是不够的。严重的颌骨不协调且咬合不可接受时，需要正畸医生、外科医生，可能还需要修复医生的跨学科团队合作。在这些情况下，隆鼻术要等待骨骼和牙齿重新排列。几乎无一例外，隆鼻患者会感激并受益于外科医生对其整体外貌的关注。关于皮肤护理、化妆、发型设计和面部年轻化的建议常常有助于患者获得愉快且满意的隆鼻体验。
