Guyuron Bahman, Behmand Ramin A
Plast Reconstr Surg. 2003 Jun;111(7):2449-57; discussion 2458-9. doi: 10.1097/01.PRS.0000060802.70218.FE.
Caudal nasal deviation, manifested by a "crooked tip," asymmetric nostrils, and a deviated columella, is one of the most challenging deformities encountered in rhinoplasty. This entity is often ignored by rhinoplasty surgeons, on the basis of the assumption that correction of other segments of the deviated nose will improve the caudal nose. Failure to correct this imperfection (or, occasionally, deformity) invariably produces suboptimal results. The nasal structures involved in caudal nasal deviation, namely, the septum, the lower lateral cartilages, and the anterior nasal spine, must be evaluated for identification of the anatomical blocks that have a causative role in caudal nasal deviation. The specific structures with abnormalities related to this deformity are discussed, as are techniques for the correction of the deformities. These techniques significantly augment the surgeon's repertoire of methods for addressing the subtleties of caudal nasal deviation correction and achieving predictable results.
尾侧鼻偏斜表现为“鼻尖歪斜”、鼻孔不对称和鼻中隔偏斜，是鼻整形术中遇到的最具挑战性的畸形之一。鼻整形外科医生常常忽略这种情况，基于这样一种假设，即矫正偏斜鼻的其他部分会改善尾侧鼻。未能纠正这种不完美（或偶尔的畸形）总是会产生不理想的结果。必须评估与尾侧鼻偏斜相关的鼻结构，即鼻中隔、下外侧软骨和前鼻棘，以确定在尾侧鼻偏斜中起致病作用的解剖性阻滞。本文讨论了与这种畸形相关的异常特定结构，以及矫正畸形的技术。这些技术显著增加了外科医生处理尾侧鼻偏斜细微之处并获得可预测结果的方法储备。
