Gruber Ronald P, Peled Anne, Talley John
Dr Gruber is an adjunct associate clinical professor in the Division of Plastic and Reconstructive Surgery at Stanford University in Palo Alto, California, and an associate clinical professor in the Division of Plastic and Reconstructive Surgery at the University of California, San Francisco. Dr Peled is a fellow in the Division of Plastic and Reconstructive Surgery at the University of California, San Francisco. Dr Talley is a fellow in the Division of Plastic and Reconstructive Surgery at Stanford University in Palo Alto, California.
Aesthet Surg J. 2015 Jan;35(1):20-7. doi: 10.1093/asj/sju016.
Nasal tip bulbosity, or convexity, has been one of the most difficult problems to correct during rhinoplasty. Excision of cartilage from the cephalic part of the lateral crus has helped. However, complete correction of the deformity is not always possible with this maneuver alone. Suture techniques have also helped to improve outcomes. Twelve years ago, the lateral crus mattress suture was introduced as a way of converting the lateral crus to a flat, straight segment with resultant correction of the convexity. Since then, this suture technique has been employed in most primary and some secondary rhinoplasties and has stood the test of time. We report our experience with this technique, including a slight modification to facilitate its application when the cartilage is unusually narrow or when the original technique is difficult to complete. In addition, the suture technique for the less concave lateral crura is redescribed. It, too, has withstood the test of time.
鼻尖圆钝或隆起一直是鼻整形术中最难矫正的问题之一。从外侧脚头部切除软骨对此有帮助。然而，仅靠这种操作并不总是能完全矫正畸形。缝合技术也有助于改善效果。12年前，外侧脚褥式缝合被引入，作为一种将外侧脚转变为平坦、笔直节段从而矫正隆起的方法。从那时起，这种缝合技术已被应用于大多数初次鼻整形术和一些二次鼻整形术中，并经受住了时间的考验。我们报告我们使用这种技术的经验，包括在软骨异常狭窄或原始技术难以完成时为便于应用而进行的轻微改进。此外，还重新描述了用于不太凹陷的外侧脚的缝合技术。它也经受住了时间的考验。
