Department of Plastic Surgery, Ain Shams University, El Demerdash Hospital, 56 Ramsis St., Abbasseya, Cairo, Egypt.
Aesthetic Plast Surg. 2011 Oct;35(5):839-46. doi: 10.1007/s00266-011-9707-y. Epub 2011 Apr 12.
Rhinoplasty modifies the aesthetic appearance and functional properties of the nose with operative manipulation of the skin, underlying cartilage, bone, and linings. A long nose is an aesthetically undesired feature disturbing the harmony of the face. The underlying pathology of the long nose may be due to either a long septum that invades the lip or dislocation of the alar cartilages downward from the aponeurotic attachments to the septal angle. The increase in the nasal height due to a dorsal nasal hump may give an illusion of a long nose. An absent or shallow frontonasal angle also gives the illusion of a long nose. With the introduction of the dynamics of the nasal structures and dynamics in rhinoplasty, recreation of a straight nasal dorsum and a normal frontonasal angle dynamically shortens the long nose. This study presents a multicenter experience (three centers) in rhinoplasty of long noses. The study included 138 patients who complained of having a long nose. The study employed the concept of structure rhinoplasty to address the three-dimensional nasal structures contributing directly or indirectly to the appearance of the long nose rather than the traditional excisional techniques. Based on objective and subjective evaluation, shortening of the nose was achieved in 122 patients (88.4%) with better overall nasal aesthetics. The study concluded that structure rhinoplasty, which addresses the three-dimensional nasal anatomy, maximizes the aesthetic and functional outcomes when treating the long-nose deformity.
鼻整形术通过对皮肤、下软骨、骨和衬里的手术操作来改变鼻子的审美外观和功能特性。长鼻子是一种不美观的特征，破坏了面部的和谐。长鼻子的潜在病理可能是由于鼻中隔过长侵入唇，或鼻翼软骨从与鼻中隔角的腱膜附着处向下脱位。由于鼻背驼峰增加，可能会给人一种长鼻子的错觉。不存在或浅的额鼻角也会给人一种长鼻子的错觉。随着鼻结构动力学和鼻整形术动力学的引入，重建直的鼻背和正常的额鼻角可以动态地缩短长鼻子。本研究介绍了鼻整形术治疗长鼻子的多中心经验（三个中心）。该研究包括 138 名抱怨长鼻子的患者。该研究采用了结构性鼻整形术的概念，直接或间接地针对导致长鼻子外观的三维鼻结构，而不是传统的切除技术。基于客观和主观评估，122 名患者（88.4%）实现了鼻子的缩短，整体鼻部美学效果更好。该研究得出结论，结构性鼻整形术可以解决三维鼻解剖结构问题，在治疗长鼻畸形时可以最大限度地提高美观和功能效果。
