Bracaglia Roberto, Tambasco Damiano, Gentileschi Stefano, D'Ettorre Marco
From the Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Rome, Italy.
J Craniofac Surg. 2013 Nov;24(6):1882-5. doi: 10.1097/SCS.0b013e3182a24582.
Revision rhinoplasties are extremely difficult to perform even for the surgeons mastering nasal surgery. In fact, they must be skilled at adapting surgical strategies to the anatomical changes induced by primary rhinoplasty.We herein describe an original technique using an auricular cartilage graft after 6 revision rhinoplasties.The aforementioned graft succeeded in improving tip support, correct external nasal valve dysfunction and alar pinch, and providing tip definition, projection, and ptosis.In our opinion, rainbow graft is a safe approach in case of severe nasal structural deficiencies, improving both the functional and esthetic results in revision rhinoplasties.
即使对于精通鼻整形手术的外科医生来说，修复性鼻整形手术也极具挑战性。事实上，他们必须熟练掌握如何根据初次鼻整形手术引起的解剖结构变化来调整手术策略。我们在此描述了一种在6次修复性鼻整形手术后使用耳软骨移植的原创技术。上述移植成功改善了鼻尖支撑、纠正了鼻外阀功能障碍和鼻翼夹捏问题，并提供了鼻尖的清晰度、突出度和下垂矫正。我们认为，在严重鼻结构缺陷的情况下，彩虹移植是一种安全的方法，可改善修复性鼻整形手术的功能和美学效果。
