Bouguila J, Zairi I, Yacoub K, Ben Neji N, d'Hauthuille C, Khonsari H, Mokhtar M, Adouani A
Service de chirurgie maxillofaciale et esthétique, CHU Charles-Nicolle, boulevard du 9-Avril-1938, 1006 Tunis, Tunisie.
Ann Chir Plast Esthet. 2008 Dec;53(6):504-12. doi: 10.1016/j.anplas.2008.04.003. Epub 2008 Oct 19.
The repair of nasal defects is thought to be the most ancient of facial reconstructive procedures, dating back to at least 3000 BC in India. In spite of the development of nasal reconstruction concepts, leading to remarkable esthetic and functional improvements, columella reconstruction is yet a contemporary challenge. Columella defects may result from trauma, infections, carcinoma resection, syphilis, bilateral cleft lip, etc. Maintaining symmetry, contour and function are essential for a successful columella reconstruction. Multiple factors help to determine the optimal repair method, including the size of the defect, its depth and location, and the strength of the underlying nasal framework. This article presents a range of techniques and discusses the application of these methods to specific columella defects. A chronological review of columellar reconstruction procedures used for this partial rhinoplasty is exposed.
鼻缺损修复被认为是面部重建手术中最古老的一种，至少可追溯到公元前3000年的印度。尽管鼻重建概念不断发展，在美学和功能方面都有显著改善，但鼻小柱重建仍是一个当代挑战。鼻小柱缺损可能由外伤、感染、癌切除、梅毒、双侧唇裂等引起。保持对称、外形和功能对于成功的鼻小柱重建至关重要。多种因素有助于确定最佳修复方法，包括缺损的大小、深度和位置，以及鼻底层框架的强度。本文介绍了一系列技术，并讨论了这些方法在特定鼻小柱缺损中的应用。本文还对用于这种部分鼻成形术的鼻小柱重建手术进行了按时间顺序的回顾。
