Cachay-Velásquez H
Division of Plastic Surgery, Hospital de Clínicas José de San Martín, Buenos Aires University, Argentina.
Eur Arch Otorhinolaryngol. 1992;249(6):336-9. doi: 10.1007/BF00179385.
A new surgical procedure is described to correct the difficult problem of the short columella without resorting to cartilage grafts. The ready recourse to these grafts, so much in vogue at the present time in primary rhinoplasties, should be carefully and completely re-examined, since the final result very frequently yields no real benefits and may permanently deface the area from which the cartilage has been taken. The present technique combines trimming of the upper lateral nasal cartilages with approximation of the alar cartilages and excisions of the depressor septi muscles and/or contiguous orbicularis oris muscle.
本文描述了一种新的外科手术方法，用于解决短鼻小柱这一难题，而无需采用软骨移植。目前在初次鼻整形术中非常流行的软骨移植，应仔细且全面地重新审视，因为最终结果往往并无实际益处，且可能会永久性地损毁取软骨的部位。当前技术将鼻外侧上软骨的修整与鼻翼软骨的贴合以及降鼻中隔肌和/或邻近的口轮匝肌的切除相结合。
