Greywoode Jewel D, Pribitkin Edmund A
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Arch Facial Plast Surg. 2011 Sep-Oct;13(5):316-21. doi: 10.1001/archfacial.2011.52.
To demonstrate histologic correlates and describe refinements in cosmetic rhinoplasty using the ultrasonic bone aspirator.
This retrospective review of 103 consecutive patients undergoing cosmetic rhinoplasty at a tertiary care academic facial plastic surgery practice extends the applications for the ultrasonic bone aspirator to include reducing the nasal spine, glabellar deepening, sculpting of mobile bone fragments after osteotomy, smoothing of bony edges after medial osteotomy, and reducing the convexity of nasal bones. We performed histologic analysis of cartilage samples, and the patient and surgeon subjectively evaluated the aesthetic outcome of the procedure.
All patients obtained satisfactory outcomes. Seven patients experienced minor complications. One patient had a visible dorsal irregularity, 2 had palpable but not visible dorsal irregularities, 2 had asymmetry of the dorsum, and 2 had underresection of the dorsum. No patients experienced skin or soft-tissue injury.
The ultrasonic bone aspirator can be a useful adjunct for the cosmetic rhinoplasty surgeon. The ultrasonic bone aspirator permits precise, graded removal of bone without damage to surrounding soft tissue or mucosa. With multiple applications in nasal surgery, the ultrasonic bone aspirator permits refinement of subtle irregularities and asymmetry of the nasal bones. Complications associated with the device are rare.
展示组织学相关性，并描述使用超声骨钻进行隆鼻手术的改进方法。
这项对在一家三级护理学术面部整形手术机构连续接受隆鼻手术的103例患者的回顾性研究，将超声骨钻的应用扩展到包括降低鼻棘、加深眉间、截骨后塑造活动骨碎片、内侧截骨后打磨骨边缘以及降低鼻骨凸度。我们对软骨样本进行了组织学分析，患者和外科医生对手术的美学效果进行了主观评估。
所有患者均获得满意结果。7例患者出现轻微并发症。1例患者有明显的鼻背不规则，2例有可触及但不可见的鼻背不规则，2例鼻背不对称，2例鼻背切除不足。没有患者出现皮肤或软组织损伤。
超声骨钻对于隆鼻手术医生可能是一种有用的辅助工具。超声骨钻能够精确、分级地去除骨质，而不会损伤周围软组织或黏膜。在鼻部手术中有多种应用，超声骨钻能够改善鼻骨细微的不规则和不对称情况。与该设备相关的并发症很少见。
