Morera Serna Eduardo, Escobar Forero Claudia Marcela, Pedroza Campos Fernando, Frontera Juan Guillem
Servicio de Otorrinolaringología, Hospital Universitario Son Dureta, Palma de Mallorca, Baleares, España.
Acta Otorrinolaringol Esp. 2008 Oct;59(8):390-8.
Anatomy, surgical manoeuvres, scarring and physiologic nasal aging determine the final outcome of nasal tip on rhinoplasty patients.
Post-operative nasal tip changes in 182 rhinoplasty patients operated on by the same surgeon and with a minimum one year of follow-up were studied. A personal interview was arranged with all patients and facial photographs were taken. Nasal tip rotation, projection and definition were measured.
After multivariate analysis, surgical manoeuvres with a statistical impact on the long-term outcome of the nasal tip were dome lateralization greater than 3 mm, columellar strut and shield graft.
Cartilage reshaping and tip grafting provide consistent long-lasting results in nasal tip surgery.
解剖结构、手术操作、瘢痕形成以及生理性鼻衰老决定了隆鼻患者鼻尖的最终效果。
对182例由同一位外科医生进行手术且至少随访一年的隆鼻患者术后鼻尖变化进行了研究。对所有患者进行了个人访谈并拍摄了面部照片。测量了鼻尖的旋转度、突出度和清晰度。
多变量分析后，对鼻尖长期效果有统计学影响的手术操作包括穹窿侧移大于3毫米、鼻小柱支撑和盾形移植。
软骨重塑和鼻尖移植在鼻尖手术中能提供持续持久的效果。
