一种防止鼻整形术中鼻尖上区畸形的技术改进：“梯形峰”
A technical refinement to prevent supratip deformity in aesthetic rhinoplasty: "the trapezoid peak".
作者信息
Campus G V, Farace F, Rubino C, Sanna M P G
机构信息
Plastic Surgery-Burn Unit Department, University of Sassari, Sassari, Italy.
出版信息
Aesthetic Plast Surg. 2007 Jan-Feb;31(1):88-93. doi: 10.1007/s00266-006-0153-1.
BACKGROUND
The relationship between appropriate caudal dorsum resection and supratip deformity or inadequate tip projection currently is clear. Correct quadrangular cartilage management seems to have a basic role in the final tip aspect after aesthetic rhinoplasty.
METHODS
Primary aesthetic rhinoplasty was performed for 38 Caucasian patients. A septal refinement was used for patients requiring extra tip support and not requiring grafts.
RESULTS
The minimum follow-up period was 1 year. No supratip deformity was noted after surgery. The tip and midvault had adequate projection.
CONCLUSIONS
The described maneuver sustains the alar cartilage without sutures, preventing supratip deformity, sustaining soft tissues, and avoiding loss of tip projection.
背景
目前，合适的鼻背尾侧切除与鼻尖上区畸形或鼻尖突出不足之间的关系尚不清楚。在美容鼻整形术后，正确处理四边形软骨似乎对最终的鼻尖形态起着基本作用。
方法
对38例白种人患者进行了一期美容鼻整形术。对于需要额外鼻尖支撑且不需要移植的患者，采用了鼻中隔修整术。
结果
最短随访期为1年。术后未发现鼻尖上区畸形。鼻尖和鼻中段有足够的突出度。
结论
所描述的操作无需缝合即可维持鼻翼软骨，防止鼻尖上区畸形，维持软组织，并避免鼻尖突出度丧失。
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