Fanous N
Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Canada.
Plast Reconstr Surg. 1991 Apr;87(4):662-71; discussion 672-3.
Reshaping the nasal tip is the most difficult part of a rhinoplasty, particularly in certain types of nasal tip deformities, such as the recessed tip, the thick-skin tip, the boxy tip, the asymmetrical tip, the thin-skin tip, the bifid tip, the turned-up tip, and the turned-down tip. A new approach is introduced regarding the use of Mersilene tip implants. Guidelines for preoperative evaluation and surgical technique are outlined. The so-called "PEPSI" rule (pocket, experience, positioning, shape and size, and incision) is emphasized. The advantages and disadvantages of the Mersilene tip implant are discussed. The Mersilene implant was used in the tip region in a total of 98 patients, and the results are satisfactory.
鼻尖整形是鼻整形术中最困难的部分，尤其是在某些类型的鼻尖畸形中，如鼻尖凹陷、厚皮鼻尖、方形鼻尖、不对称鼻尖、薄皮鼻尖、双叶鼻尖、上翘鼻尖和下旋鼻尖。本文介绍了一种使用Mersilene鼻尖植入物的新方法。概述了术前评估和手术技术的指南。强调了所谓的“PEPSI”规则（腔隙、经验、定位、形状和大小以及切口）。讨论了Mersilene鼻尖植入物的优缺点。Mersilene植入物共用于98例患者的鼻尖区域，结果令人满意。
