Pasinato Rogério, Mocelin Marcos, Berger Cezar Augusto Sarraf
Master. Associate Professor, Department of Otorhinolaryngology, Federal University of Paraná (UFPR). Doctor's ENT Hospital IPO.
Doctor. Professor, Department of Otorhinolaryngology, Federal University of Paraná (UFPR). Otolaryngologist Hospital IPO.
Int Arch Otorhinolaryngol. 2012 Jul;16(3):391-5. doi: 10.7162/S1809-97772012000300015.
Refinement of the nose tip can be accomplished by a variety of techniques, but currently, the use of sutures in the nasal tip with conservative resection of the alar cartilage is the most frequently recommended approach.
To classify the nasal tip and to demonstrate the interdomal suture applied to nasal tip refinement in the Caucasian nose, as well as to provide a simple and practical presentation of the surgical steps.
Development of surgical algorithm for nasal tip surgery: 1. Interdomal suture (double binding suture), 2. Interdomal suture with alar cartilage weakening (cross-hatching), 3. Interdomal suture with cephalic removal of the alar cartilage (McIndoe technique) based on the nasal tip type classification. This classification assesses the interdomal distance (angle of domal divergence and intercrural distance), domal arch width, cartilage consistency, and skin type. Interdomal suture is performed through endonasal rhinoplasty by basic technique without delivery (Converse-Diamond technique) under local anesthesia.
This classification is simple and facilitates the approach of surgical treatment of the nasal tip through interdomal suture, systematizing and standardizing surgical maneuvers for better refinement of the Caucasian nose.
鼻尖的精细化可通过多种技术实现，但目前，在鼻尖使用缝线并对鼻翼软骨进行保守切除是最常推荐的方法。
对鼻尖进行分类，展示应用于高加索人鼻尖精细化的鼻小柱间缝线，并提供手术步骤的简单实用介绍。
鼻尖手术手术算法的制定：1. 鼻小柱间缝线（双捆绑缝线），2. 鼻小柱间缝线联合鼻翼软骨削弱（交叉划格），3. 基于鼻尖类型分类的鼻翼软骨头部切除的鼻小柱间缝线（麦金杜技术）。该分类评估鼻小柱间距离（鼻小柱分开角度和鼻小柱间距离）、鼻小柱弓宽度、软骨质地和皮肤类型。鼻小柱间缝线通过鼻内入路在局部麻醉下采用基本技术（不进行翻瓣，康弗斯 - 戴蒙德技术）完成。
该分类简单，有助于通过鼻小柱间缝线进行鼻尖手术治疗，使手术操作系统化和标准化，以更好地精细化高加索人的鼻子。
