Department of ORL/HNS, University of Insubria, Varese, Italy.
Acta Otorhinolaryngol Ital. 2013 Jun;33(3):154-62.
Although rhinoplasty and the development of facial aesthetic criteria can be traced to several millennia, contemporary techniques have passed through a rapid evolutionary process in the past century (1) (2). Although understanding human anatomy and the consequences of surgical excision occupied the minds of the founders of rhinoplasty, the process moved towards preservation of supporting structures, and maintaining the physiological functions of the nose. Initially, this endonasal approach created its own series of problems due to excessive tissue removal. External rhinoplasty provided a new impetus for growth in this field, and since its inception, has swung the pendulum of reconstruction firmly into its own sphere of influence. However, as no rhinoplasty technique holds all the answers, hybrid rhinoplasty seeks to combine the best achievements of 20(th) century rhinoplasty, from all schools of thought, in order to provide a safe, sensible and planned approach to the most demanding operation for the facial plastic surgeon.
虽然鼻整形术和面部审美标准的发展可以追溯到几千年前，但在过去的一个世纪里，当代技术经历了快速的进化过程 (1) (2)。尽管理解人类解剖结构和手术切除的后果占据了鼻整形术创始人的头脑，但这一过程已经朝着保护支撑结构和维持鼻子的生理功能的方向发展。最初，由于组织切除过多，这种经鼻入路方法本身就产生了一系列问题。外鼻整形术为该领域的发展提供了新的动力，自成立以来，它已经将重建的钟摆牢牢地摆到了自己的影响范围内。然而，由于没有一种鼻整形技术能够解决所有问题，因此混合鼻整形术试图结合来自各个学派的 20 世纪鼻整形术的最佳成就，为面部整形外科医生提供最具挑战性的手术的安全、明智和有计划的方法。
