Perlman P W, Nathan M J
Ear Nose Throat J. 1991 Jul;70(7):425-30.
Although the external rhinoplasty remains controversial it is difficult to understand why. The columella scar is of little significance since this becomes nearly invisible if the closure is carefully performed. There is a relative postoperative prolongation of nasal tip swelling in comparison with the closed technique, however this also becomes negligible with time. On the other hand, in our experience the open approach will achieve better understanding of the patient's individual anatomy and thus lead to a more predictable result through increased exposure and precision tailoring. The external technique facilitates the application of the great variety of tip refinements that have been developed over the years to allow facial plastic surgeons to get consistently excellent results in rhinoplasty.
尽管外鼻整形术仍存在争议，但很难理解为何如此。鼻小柱瘢痕意义不大，因为如果仔细缝合，它几乎会变得不可见。与闭合技术相比，术后鼻尖肿胀会相对延长，不过随着时间推移这也会变得微不足道。另一方面，根据我们的经验，开放式入路能更好地了解患者的个体解剖结构，从而通过增加暴露和精确调整达到更可预测的效果。外鼻技术便于应用多年来开发的各种鼻尖精细化手术，使面部整形医生在鼻整形术中始终能获得出色的效果。
