Nguyen P S, Duron J-B, Bardot J, Levet Y, Aiach G
Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France; Clinique Saint-Roch, 99, avenue Saint-Roch, 83000 Toulon, France.
Cabinet de chirurgie plastique, 76, avenue Raymond-Poincaré, 75116 Paris, France.
Ann Chir Plast Esthet. 2014 Dec;59(6):406-17. doi: 10.1016/j.anplas.2014.08.002. Epub 2014 Sep 8.
In the first step of rhinoplasty, the surgical approach will expose through different types of incisions and dissection planes the osteocartilaginous framework of the nasal pyramid prior to performing actions to reduce or increase the latter. This exposure can be performed by a closed approach or by an external approach--the choice depends on the type of nose and the habits of the surgeon. Far from being opposites, closed and external approaches are complementary and should be known and mastered by surgeons performing rhinoplasty.
在鼻整形手术的第一步，手术入路会通过不同类型的切口和解剖层面暴露鼻锥体的骨软骨支架，然后再采取措施对其进行缩小或增大。这种暴露可以通过闭合入路或外部入路来完成——选择取决于鼻子的类型和外科医生的习惯。闭合入路和外部入路并非相互对立，而是相辅相成的，进行鼻整形手术的外科医生应该了解并掌握它们。
