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细微术后鼻缺损的调整:处理“险些失败”的鼻整形术

Adjustment of subtle postoperative nasal defects: managing the "near-miss" rhinoplasty.

作者信息

Sclafani Anthony P, Romo Thomas, Barnett Jay G, Barnett Channing R

机构信息

Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary, New York, NY 10003, USA.

出版信息

Facial Plast Surg. 2003 Nov;19(4):349-61. doi: 10.1055/s-2004-815655.

DOI:10.1055/s-2004-815655
PMID:14737704
Abstract

Rhinoplasty entails several steps that affect the appearance and function of the nose in an interrelated way. Occasionally, an excellent result can be marred by a minor imperfection and lead to dissatisfaction of both patient and surgeon. For significant pathology, revision rhinoplasty can be performed safely if the architecture and physiology of the nose are respected. To correct the "near-miss" result, minor corrections can successfully restore the aesthetic result. This can require a different frame of reference and approach and can often be thought of in terms of soft tissue correction. Subcutaneous fibrosis, skin depressions, asymmetries, and deficits can be corrected with minor procedures and techniques not routinely associated with rhinoplasty. We detail several methods that can be used to restore simply and effectively an otherwise excellent rhinoplasty result.

摘要

隆鼻手术包含几个步骤,这些步骤以相互关联的方式影响鼻子的外观和功能。偶尔,一个原本出色的结果可能会因一个小瑕疵而受到影响,导致患者和外科医生都不满意。对于严重的病理情况,如果尊重鼻子的结构和生理机能,修复性隆鼻手术可以安全地进行。为了纠正“差点成功”的结果,微小的矫正可以成功恢复美学效果。这可能需要不同的参考框架和方法,并且通常可以从软组织矫正的角度来考虑。皮下纤维化、皮肤凹陷、不对称和缺损可以通过一些通常与隆鼻手术无关的小手术和技术来矫正。我们详细介绍几种可以用来简单有效地恢复原本出色的隆鼻效果的方法。

相似文献

1
Adjustment of subtle postoperative nasal defects: managing the "near-miss" rhinoplasty.细微术后鼻缺损的调整:处理“险些失败”的鼻整形术
Facial Plast Surg. 2003 Nov;19(4):349-61. doi: 10.1055/s-2004-815655.
2
Nasal grafts and implants in revision rhinoplasty.鼻整形修复术中的鼻移植和植入物。
Facial Plast Surg Clin North Am. 2006 Nov;14(4):373-87, vii. doi: 10.1016/j.fsc.2006.06.006.
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Correction of dorsal abnormalities in revision rhinoplasty.修复鼻整形术中背部异常的矫正
Facial Plast Surg. 2008 Aug;24(3):327-38. doi: 10.1055/s-0028-1083086. Epub 2008 Oct 24.
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Soft tissue rhinoplasty.软组织隆鼻术
J Otolaryngol. 1994 Oct;23(5):335-43.
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Management of the short nose deformity in revision rhinoplasty.鼻整形修复术中短鼻畸形的处理
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Revision rhinoplasty.鼻整形修复术
Facial Plast Surg. 2002 Nov;18(4):233-44. doi: 10.1055/s-2002-36491.
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Aesthetic and functional restoration using dorsal saddle shaped Medpor implant in secondary rhinoplasty.在二次鼻整形术中使用鞍背形Medpor植入物进行美学和功能修复。
Ann Plast Surg. 2008 Jun;60(6):600-3. doi: 10.1097/SAP.0b013e3181344453.
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Revision rhinoplasty: an overview of deformities and techniques.鼻整形修复术:畸形与技术概述
Facial Plast Surg. 2008 Aug;24(3):271-87. doi: 10.1055/s-0028-1083082. Epub 2008 Oct 24.
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E-M shaped septal encircling with Medpor reconstruction on crooked noses: personal technique and postoperative results.E-M形鼻中隔环绕联合Medpor材料对歪鼻进行重建:个人技术及术后效果
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引用本文的文献

1
Rhinoplasty - indications and techniques.隆鼻术——适应症与技术。
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007;6:Doc09. Epub 2008 Mar 14.
2
Risks and complications in rhinoplasty.隆鼻手术的风险与并发症。
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007;6:Doc08. Epub 2008 Mar 14.