Burstein Fernando D
Division of Plastic and Reconstructive Surgery, Emory University, Atlanta, GA, USA.
Ann Plast Surg. 2008 Dec;61(6):595-600. doi: 10.1097/SAP.0b013e3181788e50.
Recognition of patients who are at high risk for developing postrhinoplasty airway obstruction is essential. These patients may be at risk because of certain anatomic characteristics or may have a preexisting degree of airway obstruction from previous nasal surgery. Every surgeon who performs esthetic or reconstructive rhinoplasty procedures should be familiar with anatomic variants predisposing to airway obstruction and surgical techniques for airway improvement. The author presents case examples illustrating these principles and his methodology for recognizing and correcting airway compromise in primary and secondary rhinoplasty procedures. The use of spreader grafts, columellar graft, batten grafts, and piriform aperture widening are discussed. The author advocates incorporating these techniques to enhance nasal esthetics and function.
识别隆鼻术后气道阻塞高风险患者至关重要。这些患者可能由于某些解剖特征而处于风险中，或者可能因既往鼻部手术已存在一定程度的气道阻塞。每位进行美容或重建隆鼻手术的外科医生都应熟悉易导致气道阻塞的解剖变异以及改善气道的手术技术。作者列举了病例示例，阐述了这些原则以及他在初次和二次隆鼻手术中识别和纠正气道受损的方法。文中讨论了撑开移植物、鼻小柱移植物、支撑移植物和梨状孔扩大术的应用。作者主张采用这些技术来提升鼻部美观度和功能。
