Seyhan Ahmet
Department of Plastic Surgery, Celal Bayer University, Izmir, Turkey.
World J Plast Surg. 2012 Jul;1(2):112-5.
In crooked noses, the lateral walls are different in shape and symmetry. Although the septum is very important to obtain a straight nose, identical and symmetrical lateral walls are needed for a straight looking nasal dorsum. As well as the septum, lateral walls also contribute in nasal skeletal support and stability. Thus, obtaining identical and symmetrical lateral walls is important. In order to obtain symmetrical and stable lateral walls, the requirements are to equalize the height, to set in a symmetric location and finally to stabilize the symmetry. These requirements must be taken into consideration while performing the steps of rhinoplasty, namely, hump resection, osteotomies and stabilization by spreader grafts or flaps. Here, we describe the management of the lateral walls in crooked nose in 7 cases.
在歪鼻病例中，鼻侧壁的形状和对称性各异。尽管鼻中隔对于获得笔直的鼻子非常重要，但要使鼻背外观笔直，同样需要两侧鼻侧壁相同且对称。鼻侧壁与鼻中隔一样，也对鼻骨支架和稳定性起到作用。因此，实现两侧鼻侧壁相同且对称至关重要。为了获得对称且稳定的鼻侧壁，需要使两侧高度相等、置于对称位置并最终稳定这种对称性。在进行鼻整形手术步骤（即驼峰切除、截骨术以及使用撑开移植物或皮瓣进行稳定）时，必须考虑这些要求。在此，我们描述7例歪鼻患者鼻侧壁的处理方法。
