Gary-Bobo A, Rodrígues L
Ann Chir Plast Esthet. 1989;34(3):259-62.
The "flying wing" procedure has been known for a long time. It is classically used in the treatment of moderately severe saddle nose. The author proposes the use of this technique for the aesthetic correction of certain flattened nasal tips. Technically, the original procedure is modified by: a transcartilaginous rather than marginal approach, partial rather than total transfer of the lateral crus to preserve the alar ring, resection as required at the junction of the two crura to allow transposition without deformation of the nostril aperture, the possible association with suture-approximation of the domes in order to accentuate the projection of the nasal tip. This procedure may be indicated in secondary, dysmorphic or simply unsightly fattened tips whenever the preoperative assessment reveals a low profile of the nasal spine with osteocartilaginous disjunction, even minor, associated with flattening of the tip, simultaneously resulting in: the need for reinclusion for harmonization of the profile and the need to shorten elevate and reduce the tip. Application of this technique to a limited series (11 cases) does not eliminate any other procedures, particularly reinclusions; the principle of the "flying wing" adapted in this way and respecting the continuity of the two arches of the alar cartilage, is nevertheless attractive.
“飞翼”手术已为人所知许久。它传统上用于治疗中度严重的鞍鼻。作者提议将此技术用于某些鼻尖扁平的美学矫正。从技术上讲，对原手术进行了如下改良：采用经软骨而非边缘入路，部分而非全部转移外侧脚以保留鼻翼环，在两个脚的交界处按需切除以允许移位而不使鼻孔变形，可能联合穹窿的缝合靠拢以增强鼻尖的突出度。只要术前评估显示鼻棘低平且伴有骨软骨分离（即使很轻微），同时导致鼻尖扁平，进而出现：为使外形协调需要重新纳入以及需要缩短、抬高和缩小鼻尖，那么在继发性、畸形或仅仅是外观不佳的肥厚鼻尖病例中，此手术可能适用。将该技术应用于有限的系列病例（11例）并未排除任何其他手术，尤其是重新纳入手术；然而，以这种方式调整并尊重鼻翼软骨两个弓连续性的“飞翼”原则仍具有吸引力。
