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一项关于“新穹顶”技术改善鼻尖下垂的20年回顾。

A 20-year review of the "new domes" technique for refining the drooping nasal tip.

作者信息

Pedroza Fernando

机构信息

Carrera 16, No. 82-95 Cons 301, Bogotá, DC Colombia.

出版信息

Arch Facial Plast Surg. 2002 Jul-Sep;4(3):157-63. doi: 10.1001/archfaci.4.3.157.

DOI:10.1001/archfaci.4.3.157
PMID:12167073
Abstract

OBJECTIVE

To describe in detail a technique to achieve cephalic rotation, projection, and narrowing of the nasal tip, the "new domes" technique.

DESIGN

Retrospective analysis of more than 3000 primary rhinoplasties performed during the last 20 years.

SETTING

A private facial plastic surgery practice in Bogotá, Colombia.

INTERVENTION

Through an endonasal cartilage delivery approach to the nasal tip, we mold and reorient the alar cartilages with transdomal and interdomal sutures.

MAIN OUTCOME MEASURES

Photographic analysis with nasal and facial measurements taken directly from the patient that allows precise diagnosis and preoperative surgical planning.

RESULTS

The new domes technique creates a more projected, cephalically rotated, narrowed nasal tip. The results are predictable and stable over time, and patient satisfaction is high because of the natural-appearing results. Complications such as asymmetries, pinching, or retraction of the tip are rare.

CONCLUSION

The new domes technique is a conservative, predictable, and stable technique especially applicable for patients with drooped and wide nasal tips to achieve a more projected, rotated, narrowed, and natural appearance.

摘要

目的

详细描述一种实现鼻尖头侧旋转、突出及变窄的技术,即“新穹顶”技术。

设计

对过去20年中进行的3000多例初次隆鼻手术进行回顾性分析。

地点

哥伦比亚波哥大的一家私人面部整形手术诊所。

干预措施

通过经鼻内软骨移位法处理鼻尖,我们采用跨穹顶和穹顶间缝合来塑形并重新定位鼻翼软骨。

主要观察指标

直接对患者进行鼻部和面部测量的摄影分析,以实现精确诊断和术前手术规划。

结果

新穹顶技术可打造出更突出、头侧旋转且变窄的鼻尖。随着时间推移,效果可预测且稳定,由于效果自然,患者满意度较高。鼻尖不对称、夹捏或回缩等并发症罕见。

结论

新穹顶技术是一种保守、可预测且稳定的技术,特别适用于鼻尖下垂且宽大的患者,以实现更突出、旋转、变窄且自然的外观。

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