Sands Noah Benjamin, Adamson Peter A
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto General Hospital, R. Fraser Elliott Building, 190 Elizabeth Street, Room 3S - 438, Toronto, Ontario M5G 2C4, Canada; Adamson Associates Cosmetic Facial Surgery, 150 Bloor Street West, M110, Toronto, Ontario M5S 2X9, Canada.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto General Hospital, R. Fraser Elliott Building, 190 Elizabeth Street, Room 3S - 438, Toronto, Ontario M5G 2C4, Canada; Adamson Associates Cosmetic Facial Surgery, 150 Bloor Street West, M110, Toronto, Ontario M5S 2X9, Canada.
Facial Plast Surg Clin North Am. 2015 Feb;23(1):93-104. doi: 10.1016/j.fsc.2014.09.007.
Vertical arch division is a mainstay of tip surgery, and its applications are expanding. It allows deprojection of the overprojected tip, and modifies rotation, length, and lobule definition. These parameters can be altered in a controlled, predictable fashion when the alar cartilage is preserved and overlapped, maintaining its strength. Cartilage overlay techniques aim to preserve normal anatomy and establish support for the nasal framework. We discuss the uses of vertical arch division when applied to the M-arch model, an expansion of the nasal tip tripod concept, which provides for a utilitarian approach to surgical techniques for the nasal tip.
垂直弓分割是鼻尖手术的主要手段,其应用正在不断扩展。它能使过度突出的鼻尖降低突出度,并改变旋转度、长度和小叶形态。当保留并重叠鼻翼软骨以维持其强度时,这些参数可以通过可控且可预测的方式进行改变。软骨覆盖技术旨在保留正常解剖结构并为鼻支架提供支撑。我们讨论垂直弓分割应用于M形弓模型时的用途,M形弓模型是鼻尖三脚架概念的扩展,它为鼻尖手术技术提供了一种实用的方法。