Eichhorn-Sens J, Gubisch W
Klinik für Plastische Gesichtschirurgie, Marienhospital Stuttgart, Böheimstrasse 37, 70199, Stuttgart, Deutschland.
HNO. 2009 Dec;57(12):1262-72. doi: 10.1007/s00106-009-1929-9.
The aim of the present report is to demonstrate the sliding technique as a reliable and exact method to treat the overprojected nasal tip.
Between March 2003 and April 2008 we treated 271 patients (198 females, 73 males) using the sliding technique for isolated tip hypertrophy (n=88), rhinomegaly (n=146), asymmetry of the nasal tip (n=29) and ptosis with malformation of the alar cartilages (n=8).
Medial sliding was performed in 100 patients, lateral sliding in 121 patients, and combined lateral and medial sliding in 12 patients. In total, 18 patients needed additional skin resection at the columella. After an average follow-up period of 8.4 months 77.1% of the patients (n=209) rated the result as "very good", 21.1% (n=57) as"good" and 1.8% (n=5) patients were"unsatisfied". Only 1.8% (n=5) had to be revised due to nasal tip projection. A retrospective study of our first 80 patients showed an average reduction in projection of around 11%.
The sliding technique is a precise and effective method to treat the overprojected nasal tip.
本报告旨在证明滑动技术是一种治疗鼻尖过度突出的可靠且精确的方法。
2003年3月至2008年4月期间，我们使用滑动技术治疗了271例患者（女性198例，男性73例），其中孤立性鼻尖肥大88例、鼻肥大146例、鼻尖不对称29例以及鼻翼软骨畸形伴下垂8例。
100例行内侧滑动，121例行外侧滑动，12例行内外侧联合滑动。共有18例患者需要在鼻小柱处额外切除皮肤。平均随访8.4个月后，77.1%的患者（n = 209）对结果评价为“非常好”，21.1%（n = 57）评价为“好”，1.8%（n = 5）的患者“不满意”。仅1.8%（n = 5）因鼻尖突出需要进行修复。对我们最初的80例患者进行的回顾性研究显示，鼻尖突出平均降低约11%。
滑动技术是治疗鼻尖过度突出的一种精确且有效的方法。
