Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Clin Plast Surg. 2010 Apr;37(2):371-82. doi: 10.1016/j.cps.2009.11.001.
Postoperative rhinoplasty deformities--such as displacement or distortion of anatomic structures, inadequate surgery resulting in under-resection of the nasal framework, or over-resection caused by overzealous surgery--require a secondary rhinoplasty. Success in secondary rhinoplasty, therefore, relies on an accurate clinical diagnosis and analysis of the nasal deformities, a thorough operative plan to address each abnormality, and a meticulous surgical technique. Septal cartilage is the grafting material of choice for rhinoplasty; however, auricular cartilage and rib cartilage are used in secondary rhinoplasty. This article discusses the steps involved in the external approach to secondary rhinoplasty.
术后鼻整形术畸形——如解剖结构的移位或变形、手术不足导致鼻支架切除不足，或手术过度导致过度切除——需要进行二次鼻整形术。因此，二次鼻整形术的成功依赖于准确的临床诊断和对鼻部畸形的分析，彻底的手术计划来解决每个异常，并细致的手术技术。鼻中隔软骨是鼻整形术的首选移植物材料；然而，在二次鼻整形术中使用耳软骨和肋软骨。本文讨论了二次鼻整形术外入路的步骤。
