Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Miami School of Medicine, 1666 NW 12th Avenue, Suite 314, Miami, FL 33131, USA.
Clin Plast Surg. 2010 Apr;37(2):265-83. doi: 10.1016/j.cps.2009.11.005.
Successful outcomes in rhinoplasty depend more on diagnosis than on approach or technique. When the needs of each patient are assessed on multiple occasions, operative performance improves and revision rates decline. The evolutionary track from an endonasal and excisional operation to the more commonly preferred external and restructuring technique is outlined in this article. The senior author's rationale and preference for the endonasal approach and the repositioning of cartilage in the tip using vertical dome division techniques is emphasized.
鼻整形术的成功结果更多地取决于诊断，而不是手术方法或技术。当多次评估每位患者的需求时，手术效果会提高，修复率会下降。本文概述了从经鼻内和切除手术到更常选择的外部和重建技术的演变轨迹。本文强调了资深作者对经鼻内入路的基本原理和偏好，以及使用垂直穹隆分割技术在鼻尖重新定位软骨的方法。
