Cetinkale Oguz, Altintas Orhan, Yakut Hamdi, Yucel Akin
Aesthetic Plast Surg. 2003 Nov-Dec;27(6):454-61. doi: 10.1007/s00266-003-3046-6. Epub 2004 Mar 4.
The short distance of the nasal tip from the alar crease indicates inadequate projection. Tip grafts are commonly used for the management of this problem. In addition to tip grafts, labiocolumellar augmentation by cartilage grafts also provides further elevation of the tip complex for patients with poor tip definition, excessive alar base width, inadequate tip projection, or plunging nasal tip. In addition to standard rhinoplasty procedure and tip grafting for nasal tip augmentation, a linear cartilage graft was inserted centrally just behind the labiocolumellar angle for further tip elevation. The graft was placed in the subdermal plane just anterior to the orbicularis oris muscle to prevent graft displacement and clicking during muscle motion. This procedure was performed for 45 rhinoplasty patients, only three of whom underwent tip plasty procedures alone. During 1 year, 43 patients were followed up. Most of the patients (75%) were satisfied with the results of the procedure. Tip graft combined with labiocolumellar graft is an effective technique for obtaining satisfactory tip projection and correcting the acute labiocolumellar angle.
鼻尖与鼻翼沟的距离短表明鼻尖突出度不足。鼻尖移植常用于解决这一问题。除了鼻尖移植外，对于鼻尖轮廓不佳、鼻翼基底过宽、鼻尖突出度不足或鼻尖下垂的患者，通过软骨移植进行鼻小柱唇缘增高术也能进一步提升鼻尖复合体。除了标准的隆鼻手术和用于鼻尖增高的鼻尖移植外，还在鼻小柱唇缘角后方中央插入一条线性软骨移植片以进一步抬高鼻尖。将移植片置于口轮匝肌前方的皮下平面，以防止移植片在肌肉运动时移位和产生喀哒声。该手术共对45例隆鼻患者实施，其中仅3例单独接受了鼻尖整形手术。在1年期间，对43例患者进行了随访。大多数患者（75%）对手术结果满意。鼻尖移植联合鼻小柱移植是获得满意的鼻尖突出度和矫正鼻小柱唇缘锐角的有效技术。
