采用个人技术进行鼻翼基底手术管理：收紧鼻翼基底缝线。
Surgical alar base management with a personal technique: the tightening alar base suture.
作者信息
Bertossi Dario, Albanese Massimo, Malchiodi Luciano, Procacci Pasquale, Nocini Pier Francesco
机构信息
Dentistry and Maxillofacial Surgery Section, Department of Morphological-Biomedical Sciences, University of Verona, Policlininico G. B. Rossi piazzale L. Scuro 37134, Verona, Italy.
出版信息
Arch Facial Plast Surg. 2007 Jul-Aug;9(4):248-51. doi: 10.1001/archfaci.9.4.248.
OBJECTIVE
To evaluate the aesthetic result in the nasal base, when sutured using a personal technique, in patients undergoing bimaxillary surgery.
DESIGN
Review of 60 cases in which the alar base suture was used during bimaxillary surgery with an average maxillary advancement of 3.5 mm. The patients were measured on cutaneous points and on side view with cephalometric soft-tissue measurements.
RESULT
The technique of cross-suturing the alar base provided good control on the involuntary movements of the alars that result from maxillary advancement. The frontal view of the patient before and after surgery revealed that good tightening of the nasal base was obtained despite the upper jaw movements. Long-term results appear to be stable.
CONCLUSION
This personal technique of nasal alar suturing during bimaxillary surgery appears to be effective in avoiding unaesthetic deformities of the nasal base as well as providing good facial harmony.
目的
评估在双颌手术患者中采用一种个人技术缝合鼻基底时的美学效果。
设计
回顾60例在双颌手术中使用鼻翼基底缝合术的病例，平均上颌前徙3.5毫米。对患者的皮肤点进行测量，并通过头影测量软组织侧位片进行测量。
结果
鼻翼基底交叉缝合技术能很好地控制上颌前徙导致的鼻翼不自主运动。手术前后患者的正位像显示，尽管上颌有移动，但鼻基底仍能良好收紧。长期效果似乎稳定。
结论
这种双颌手术中鼻翼缝合的个人技术似乎能有效避免鼻基底不美观的畸形，同时提供良好的面部协调性。
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