Casanueva Fernando Javier, Cardemil Felipe
Servicio Otorrinolaringología, Hospital San Vicente de Arauco, Concepción, Chile. Address: 0677 South West, Lowell Street, Portland, Oregon, USA. Email:
Servicio Otorrinolaringología, Hospital San Juan de Dios, Universidad de Chile, Santiago, Chile; Servicio Otorrinolaringología, Clínica Las Condes, Santiago, Chile.
Medwave. 2016 Mar 30;16(2):e6416. doi: 10.5867/medwave.2016.02.6416.
Palpable irregularities along the nasal dorsum are a frequent complication of dorsal handling in rhinoplasty because resection techniques are used. This is often a result of improper management of the dorsum after resection. The surgical technique for handling of dorsal irregularities following dorsal resection is described. The key steps to avoid irregularities are diamond rasps, autospreader and morselized cartilage as camouflage. Following resection of the hump, the anatomy of the nasal dorsum should be adequately restructured; thereby we achieve an adequate aesthetic result and ideally preventing irregularities on palpation.
鼻背可触及的不规则是隆鼻术中鼻背处理的常见并发症，因为使用了切除技术。这通常是切除后鼻背处理不当的结果。本文描述了鼻背切除后处理鼻背不规则的手术技术。避免不规则的关键步骤是使用菱形锉刀、自体撑开器和碎软骨作为掩饰。在驼峰切除后，应充分重建鼻背的解剖结构；从而获得满意的美学效果，并理想地防止触诊时出现不规则。
