Department of Otolaryngology, Head and Neck Surgery, Vali-Asr Hospital, Imam Khomeini Medical Complex, Tehran, Iran.
Aesthetic Plast Surg. 2012 Apr;36(2):244-7. doi: 10.1007/s00266-011-9797-6. Epub 2011 Aug 19.
Overresection of the lateral crura of the lower lateral cartilages is referred to as the most common cause of nasal valve collapse after rhinoplasty. The modern approach to functional rhinoplasty recognizes the importance of the tip framework's structural integrity and preserves tip support.
Traditional cephalic resections of lateral crura were performed on one side of five adult cadaver noses. On the opposite sides, hinged flaps of lateral crura were created. The noses were cross-sectioned at or near the internal nasal valve level, and the difference between the two sides was described.
The study findings demonstrated improvement in the postoperation nasal valve area of the hinged flap side compared with the cephalic trim side.
This preliminary study showed that the hinged flap is an option in nasal tip reduction surgery that may provide improved long-term aesthetic and functional outcomes through preservation of the nasal valve area.
下外侧软骨外侧脚过度切除被认为是鼻整形术后鼻阀塌陷的最常见原因。现代功能性鼻整形术认识到鼻尖支架结构完整性的重要性，并保留鼻尖支撑。
对五具成人尸体鼻的一侧行传统的外侧脚颅侧切除术，对另一侧行外侧脚铰链瓣术。在或接近内鼻阀水平对鼻进行横断，描述两侧的差异。
研究结果表明，与颅侧修剪侧相比，铰链瓣侧术后鼻阀区改善。
这项初步研究表明，铰链瓣是鼻尖缩小手术的一种选择，通过保留鼻阀区，可能提供更好的长期美学和功能效果。
