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开放式鼻整形术切口会减少鼻突出度吗?

Does the open rhinoplasty incision decrease nasal projection?

机构信息

II Ear Nose Throat Head and Neck Surgery, Sisli Etfal Training and Education Hospital, Adnan Saygun Caddesi Kelaynak Sokak, Kibele Sitesi 10. Blok Daire:1, Ulus, Istanbul, 34340, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2012 Mar;269(3):867-70. doi: 10.1007/s00405-011-1765-x. Epub 2011 Sep 17.

DOI:10.1007/s00405-011-1765-x
PMID:21927892
Abstract

To evaluate the effects of open rhinoplasty incisions on tip projection using digitized photographs. Thirty-one patients, who underwent open technique rhinoplasty were prospectively included in the study. The lateral aspect photographs were taken before the operations. Following midcolumellar incision septal elevation was done until septal cartilage was shown. After replacing the skin totally back and suturing midcolumellar incision, the intraoperative photographs were taken. The projection indexes were measured by Goode method from the photographs and the measurements were compared. A statistically significant decline of the nasal projection was established after open technique approach. Open rhinoplasty approach led to the decrease of the nasal tip projection. This result was thought to be the effect of ligamentous disruption.

摘要

评估数字化照片中开放式鼻整形切口对鼻尖突出度的影响。31 例患者前瞻性纳入本研究,所有患者均接受开放式鼻整形术。术前拍摄侧位照片,于鼻中隔切开后上抬鼻中隔软骨,直至鼻中隔软骨完全暴露。当皮瓣完全复位并缝合鼻中隔切口后,拍摄术中照片。采用 Goode 法从照片中测量并比较各项指标。开放式手术方法后,鼻尖突出度明显下降,差异有统计学意义。开放式鼻整形术导致鼻尖突出度下降,这种结果被认为是韧带断裂的影响。

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本文引用的文献

1
Nasal tip-suspending suture technique: cat's nape suture.鼻尖悬吊缝合技术:猫颈背缝合术。
J Craniofac Surg. 2010 May;21(3):863-5. doi: 10.1097/SCS.0b013e3181d7ae28.
2
Nasal tip sutures part II: the interplays.鼻尖缝合术第二部分:相互作用
Plast Reconstr Surg. 2003 Sep 15;112(4):1130-45; discussion 1146-9. doi: 10.1097/01.PRS.0000076505.83375.74.
3
Anatomic basis and clinical implications for nasal tip support in open versus closed rhinoplasty.开放式与闭合式鼻整形术中鼻尖支撑的解剖学基础及临床意义
Plast Reconstr Surg. 1999 Jan;103(1):255-61; discussion 262-4. doi: 10.1097/00006534-199901000-00040.
4
Dynamic interplays during rhinoplasty.隆鼻术中的动态相互作用。
Clin Plast Surg. 1996 Apr;23(2):223-31.
5
Quantitative analysis of nasal tip projection.鼻尖突出度的定量分析。
Laryngoscope. 1988 Feb;98(2):202-8. doi: 10.1288/00005537-198802000-00017.