Division of Plastic & Reconstructive Surgery, University of California (SF), San Francisco, CA, USA.
Clin Plast Surg. 2010 Apr;37(2):285-91. doi: 10.1016/j.cps.2009.12.004.
In a primary rhinoplasty that requires a humpectomy, the dorsal aspect of the upper lateral cartilages is commonly discarded. Many of these patients need spreader grafts to reconstruct the middle third of the nose. However, it is possible to reconstruct the upper lateral cartilages into "spreader flaps" that act much like spreader grafts. In the process of making spreader flaps, an incremental humpectomy is performed on the dorsal septum and bony hump. This humpectomy procedure is more accurate than the conventional humpectomy that involves resection of the bone, and septum as a single unit. The open and closed approaches of this technique are discussed in this article.
在需要进行鼻翼部分切除术的初次鼻整形术中，通常会丢弃上外侧软骨的背侧部分。这些患者中的许多人需要使用鼻中隔扩张移植物来重建鼻子的中间三分之一。但是，可以将上外侧软骨重建为“鼻中隔扩张瓣”，其作用类似于鼻中隔扩张移植物。在制作鼻中隔扩张瓣的过程中，在鼻中隔和骨性驼峰的背侧进行增量式鼻翼部分切除术。与涉及将骨和鼻中隔作为单个单位进行切除的传统鼻翼部分切除术相比，这种鼻翼部分切除术更加精确。本文讨论了该技术的开放式和封闭式方法。
