Guerrerosantos J
Jalisco Institute for Reconstructive Plastic Surgery, University of Guadalajara, Mexico.
Plast Reconstr Surg. 1990 Jun;85(6):955-60. doi: 10.1097/00006534-199006000-00022.
For the last 4 years, the author has been using the open lower cartilaginous vault rhinoplasty, making an external cutaneous incision on the columella. After observing the improved results in patients with nasal tip, lateral crura, and medial crura difficulties, the author widely recommends the use of this procedure in selected patients. In addition to multiple advantages which have been reported useful in open-tip rhinoplasty in the past, the author has contributed two additional advantages: that it avoids scarring columella skin and that it can be extended to cope with defects of the entire lower cartilaginous vault. Disadvantages are some residual edema in some patients over a 6-months period and prolongation of operating time.
在过去的4年里，作者一直采用开放式鼻下软骨穹窿成形术，在鼻小柱上做一个外部皮肤切口。在观察到该手术对鼻尖、外侧脚和内侧脚有困难的患者有改善效果后，作者广泛推荐在选定的患者中使用该手术。除了过去报道的在开放式鼻尖整形术中有用的多个优点外，作者还贡献了另外两个优点：它避免了鼻小柱皮肤瘢痕形成，并且可以扩展以应对整个鼻下软骨穹窿的缺损。缺点是一些患者在6个月内会有一些残留水肿，以及手术时间延长。
