Guerrerosantos J
Division of Plastic, Reconstructive, and Maxillofacial Surgery, Medical College, University of Guadalajara, Mexico.
Clin Plast Surg. 1991 Jan;18(1):65-86.
The up-to-date plastic surgeon should consider using augmentation rhinoplasty with relative frequency. In selected cases, for improving the face integrally, it is desirable to augment the paranasal area. In the author's hands, grafts of cartilage and fascia are the preferred tissues, based on the experience of many years. Fascia can be used alone or combined, and in the last few years we have used it alone quite often. A temporoparietal fascia graft has great versatility in the correction of a number of nasal deformities. A depressed nasal dorsum can be augmented by utilizing fascia grafts. A depressed nasal radix can be corrected successfully by utilizing fascia grafts. Submucosal placement of strips of fascia has proved to be an effective method of reconstructing the roof of the middle cartilaginous vault. For augmenting the nasal dorsum when it is a case of primary rhinoplasty, the author prefers the use of fascia alone, but if the patient is having a secondary rhinoplasty, then the graft of fascia and cartilage combined is preferred.
当代整形外科医生应考虑相对频繁地使用隆鼻术。在特定情况下，为了整体改善面部，对鼻周区域进行 augmentation 是可取的。根据多年的经验，在作者的实践中，软骨和筋膜移植是首选组织。筋膜可以单独使用或联合使用，在过去几年中我们经常单独使用它。颞顶筋膜移植在矫正多种鼻畸形方面具有很大的通用性。利用筋膜移植可以抬高鼻背凹陷。利用筋膜移植可以成功矫正鼻根凹陷。事实证明，在中软骨穹窿顶部放置筋膜条进行黏膜下植入是一种有效的重建方法。对于初次隆鼻时抬高鼻背的情况，作者更倾向于单独使用筋膜，但如果患者是二次隆鼻，则更倾向于使用筋膜和软骨联合移植。
