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闭合式隆鼻术中的移植物。

Grafts in "closed" rhinoplasty.

机构信息

Valerio Micheli-Pellegrini Study Centre, Villa Donatello, Firenze, Italy.

出版信息

Acta Otorhinolaryngol Ital. 2013 Jun;33(3):169-76.

PMID:23853412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3709525/
Abstract

Rhinoplasty is a fascinating and complex surgical procedure aiming at attaining a well-functioning and aesthetically pleasant nose. The use of grafts is of the utmost importance for the nasal surgeon to achieve such results. However, the philosophy and technical use of nasal grafts are different in "closed" and "open" rhinoplasty. The aim of this paper is not detailed description of the numerous grafts reported in the literature; we will describe the main principles of grafts use in "closed" rhinoplasty derived from our experience, with special reference to the philosophical and technical differences in their employment between "closed" and "open" rhinoplasty. Some cases are reported as an example of graft use in "endonasal" approach rhinoplasty.

摘要

隆鼻术是一项令人着迷且复杂的外科手术,旨在实现功能良好且美观的鼻子。对于鼻外科医生来说,使用移植物对于达到这样的效果至关重要。然而,在“闭合”和“开放”隆鼻术中,鼻移植物的使用理念和技术是不同的。本文的目的不是详细描述文献中报道的众多移植物;我们将根据我们的经验描述在“闭合”隆鼻术中使用移植物的主要原则,并特别参考“闭合”和“开放”隆鼻术之间在使用方面的哲学和技术差异。作为“经鼻内”入路隆鼻术中使用移植物的一个例子,报告了一些病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/7961c01179a2/0392-100X-33-169-g009a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/2d9b653fd1b4/0392-100X-33-169-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/0168e43f9993/0392-100X-33-169-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/2588bbb79e17/0392-100X-33-169-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/8e04b9eb80d4/0392-100X-33-169-g004a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/08c222345fda/0392-100X-33-169-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/62e9a1816f80/0392-100X-33-169-g006a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/6d2094ed8a25/0392-100X-33-169-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/75880d14964c/0392-100X-33-169-g008a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/7961c01179a2/0392-100X-33-169-g009a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/2d9b653fd1b4/0392-100X-33-169-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/0168e43f9993/0392-100X-33-169-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/2588bbb79e17/0392-100X-33-169-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/8e04b9eb80d4/0392-100X-33-169-g004a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/08c222345fda/0392-100X-33-169-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/62e9a1816f80/0392-100X-33-169-g006a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/6d2094ed8a25/0392-100X-33-169-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/75880d14964c/0392-100X-33-169-g008a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccd/3709525/7961c01179a2/0392-100X-33-169-g009a.jpg

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本文引用的文献

1
Rhinoplasty: open tip suture techniques: a 25-year experience.隆鼻术:开放式鼻尖缝合技术:25年经验
Facial Plast Surg. 2011 Apr;27(2):213-24. doi: 10.1055/s-0030-1271301. Epub 2011 Mar 14.
2
Surgical management of Binder's syndrome: lessons learned.Binder 综合征的手术治疗:经验教训。
Aesthetic Plast Surg. 2010 Dec;34(6):722-30. doi: 10.1007/s00266-010-9533-7. Epub 2010 Jun 5.
3
The tripod theory of nasal tip support revisited: the cantilevered spring model.鼻尖支撑的三脚架理论再探讨:悬臂弹簧模型。
Arch Facial Plast Surg. 2008 May-Jun;10(3):170-9. doi: 10.1001/archfaci.10.3.170.
4
Augmentation rhinoplasty with autologous grafts.自体移植物隆鼻术。
Aesthetic Plast Surg. 2008 Jan;32(1):136-42. doi: 10.1007/s00266-007-9052-3.
5
New concepts in nasal tip contouring.鼻尖塑形的新概念。
Arch Facial Plast Surg. 2006 May-Jun;8(3):156-85. doi: 10.1001/archfaci.8.3.156.
6
The radix graft in cosmetic rhinoplasty.鼻整形术中的鼻根移植术。
Arch Facial Plast Surg. 2001 Apr-Jun;3(2):115-9. doi: 10.1001/archfaci.3.2.115.
7
Rethinking the logic and techniques of primary tip rhinoplasty: A perspective of the evolution of surgery of the nasal Tip.重新思考鼻尖整形术的逻辑与技巧:鼻尖手术演变的视角
Otolaryngol Clin North Am. 1999 Aug;32(4):741-54. doi: 10.1016/s0030-6665(05)70167-5.
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Lateral crural strut graft: technique and clinical applications in rhinoplasty.
Plast Reconstr Surg. 1997 Apr;99(4):943-52; discussion 953-5. doi: 10.1097/00006534-199704000-00001.
9
Tip graft: a 20-year retrospective.尖端移植:20年回顾性研究。
Plast Reconstr Surg. 1993 Jan;91(1):48-63. doi: 10.1097/00006534-199301000-00007.
10
Rhinoplasty: securing the graft.隆鼻术:固定移植物。
Ann Plast Surg. 1980 Jan;4(1):84.