Moody Marcus, Ross Adam T
Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, Medical University of South Carolina, Charleston, 29425, USA.
Facial Plast Surg. 2006 May;22(2):112-9. doi: 10.1055/s-2006-947717.
Rhinoplasty in the aging patient presents a unique challenge to the facial plastic surgeon. The effects of age on the skin, ligaments, and cartilage of the nose conspire with the relentless pull of gravity to create a ptotic tip and collapsing nasal sidewalls. Combined with the increased incidence of other comorbidities in the aged patient, the resulting functional and cosmetic problems that ensue can be difficult to overcome. The astute plastic surgeon, however, will not vary from a systemic and patient-centered approach to each individual problem. Moreover, armed with common tools such as cartilage grafting, tip-suturing techniques, and meticulous handling of fragile tissues, the surgeon can restore the nose to a more youthful appearance and functional state. Although once taboo, rhinoplasty in the aging patient is increasingly a rewarding procedure for both patient and surgeon alike.
对面部整形外科医生而言，为老年患者进行隆鼻手术是一项独特的挑战。年龄对鼻子皮肤、韧带和软骨的影响，再加上重力的持续牵拉，共同导致鼻尖下垂和鼻侧壁塌陷。老年患者其他合并症的发病率增加，由此产生的功能和美容问题可能难以克服。然而，精明的整形外科医生在处理每个具体问题时，不会偏离系统化且以患者为中心的方法。此外，借助软骨移植、鼻尖缝合技术等常用工具，以及对脆弱组织的精细处理，外科医生可以让鼻子恢复到更年轻的外观和功能状态。尽管隆鼻手术曾被视为禁忌，但如今对老年患者进行隆鼻手术，对患者和外科医生来说都越来越是一项值得做的手术。
