Lemperle G, Biewener A
Department of Plastic Surgery, St. Markus-Hospital, Frankfurt AM Main 50, Federal Republic of Germany.
Aesthetic Plast Surg. 1992 Fall;16(4):303-7. doi: 10.1007/BF01570692.
Some sebaceous noses cannot be properly reduced in size because of redundant skin. After standard rhinoplasty some noses develop a supratip deformity that recurs even after subcutaneous removal of the scar tissue. These noses can be corrected only by wedge-shaped skin excision. Most patients much prefer a pleasantly shaped nose, even at the cost of a midline scar on the nose. Most surgeons are hesitant to add scars to the face. However, the vast experience with wounds following accidents, tumor excisions, or corrections of malformations has shown that generally scar formation on the nose is inconspicuous. Nineteen patients were treated successfully by skin excision at the time of primary rhinoplasty or by a second operation.
一些皮脂腺丰富的鼻子由于皮肤冗余而无法适当缩小尺寸。在标准鼻整形术后，一些鼻子会出现鼻尖上畸形，即使在皮下切除瘢痕组织后仍会复发。这些鼻子只能通过楔形皮肤切除术来矫正。大多数患者更愿意拥有一个形状美观的鼻子，即使要以鼻子上的中线瘢痕为代价。大多数外科医生都不愿在脸上增加瘢痕。然而，在处理事故、肿瘤切除或畸形矫正后的伤口方面的丰富经验表明，一般来说鼻子上的瘢痕形成并不明显。19名患者在初次鼻整形术时或二次手术时通过皮肤切除术获得了成功治疗。
