Bracaglia R, Fortunato R, Gentileschi S
Department of Plastic and Reconstructive Surgery, Università Cattolica del Sacro Cuore, Policlinico A. Gemelli, Largo A. Gemelli, 1 Rome, Italy.
Br J Plast Surg. 2004 Mar;57(2):156-9. doi: 10.1016/j.bjps.2003.11.008.
Lateral osteotomy is a very important step in a cosmetic rhinoplasty; it allows the surgeon to narrow the nose, to close the open roof created after hump removal, and to achieve symmetry of an asymmetrical nasal bony framework. In most patients a single lateral osteotomy reaches the expected result, with excellent cosmetic outcome, good stability, and rapid healing. We find that double lateral osteotomy is useful in managing severe asymmetry of nasal walls in patients with too prominent and thick maxillary processes that join asymmetrically together with nasal bones. It is also valuable in correcting very large and wide noses. We review our experience of about 1660 rhinoplasties with more than one year follow-up. Two hundred and ten cases (12.65%) had been treated with monolateral, or bilateral double osteotomy. We evaluate postoperative aesthetic and functional results.
外侧截骨术是鼻整形术中非常重要的一步；它能使外科医生缩小鼻子，闭合驼峰切除后形成的开放性鼻背，以及实现不对称鼻骨框架的对称。在大多数患者中，单次外侧截骨术就能达到预期效果，具有出色的美容效果、良好的稳定性和快速愈合。我们发现双侧外侧截骨术对于处理上颌突过于突出且厚实、与鼻骨不对称连接的患者鼻壁严重不对称情况很有用。在矫正非常宽大的鼻子方面也很有价值。我们回顾了我们约1660例鼻整形术的经验，随访时间超过一年。210例（12.65%）接受了单侧或双侧双截骨术治疗。我们评估术后的美学和功能效果。
