Lidingö-Clinic, Torsvägen 30, 181 32, Lidingö, Sweden.
Aesthetic Plast Surg. 2011 Oct;35(5):808-13. doi: 10.1007/s00266-011-9692-1. Epub 2011 Apr 13.
Accurate restoration of the smooth nasal bridge contour may be difficult to achieve after removal of the hump during reduction rhinoplasty. In patients with thin skin, a projecting septum or sharp bone edges can spoil an otherwise excellent result. To prevent dorsal irregularities from arising and to preserve the nasal roof, the technique of autografting the reduced nasal dorsum was introduced by Cottle and Skoog. This technique was popular for a few decades but then was rarely used. Experiences with the Skoog rhinoplasty method are presented and its use in suitable cases discussed.
Since 1997, 44 patients (29 females and 15 males) have undergone surgery by the author with reinsertion of the reduced hump during rhinoplasty. Of the 44 patients, 27 (61%) were of Middle Eastern descent. All operations were performed with the patient under dissociative and local anesthesia.
Providing the autograft had an adequate size, a smooth dorsal bridge was obtained in nearly 100% of the cases. In patients with severely deviated noses, the straightened reinserted hump hid residual bending of the septum. Smaller grafts carried a risk of visible edges and an imbalance between the width of the lower third of the nose and the radix after healing. Currently, only moderate technical improvements compared with the original technique are used.
The Skoog method of rhinoplasty is worth including in the operative repertoire and can be useful in suitable cases. It also is a good rescue technique if too much of the nasal dorsum has been inadvertently removed.
在进行降低驼峰的缩鼻整形术后，可能难以准确恢复光滑的鼻梁轮廓。在皮肤较薄的患者中，鼻中隔突出、锐利的骨缘可能会破坏原本出色的效果。为了防止出现鼻背畸形并保护鼻顶，Cottle 和 Skoog 引入了自体移植降低的鼻背技术。该技术流行了几十年，但后来很少使用。本文介绍了 Skoog 鼻整形术的经验，并讨论了其在合适病例中的应用。
自 1997 年以来，作者对 44 名患者（29 名女性和 15 名男性）进行了手术，在进行鼻整形术时重新插入降低的驼峰。在 44 名患者中，有 27 名（61%）为中东血统。所有手术均在患者接受分离和局部麻醉下进行。
如果自体移植物大小合适，近 100%的病例都能获得光滑的鼻背。对于严重偏斜的鼻子，挺直的重新插入的驼峰可以隐藏鼻中隔残留的弯曲。较小的移植物存在可见边缘的风险，并且在愈合后，鼻子的中下三分之一的宽度与鼻根之间存在不平衡。目前，仅对原始技术进行了适度的技术改进。
Skoog 鼻整形术值得纳入手术范围，并且在合适的病例中可能有用。如果无意中切除了过多的鼻背，它也是一种很好的挽救技术。
