Hussein Wael K A, Foda Hossam M T
Facial Plastic and Reconstructive Surgery Division, Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt.
Facial Plast Surg. 2016 Aug;32(4):398-401. doi: 10.1055/s-0036-1585571. Epub 2016 Aug 5.
The pollybeak deformity is one of the commonest causes of revision rhinoplasty. The Middle Eastern nose has certain criteria that predispose to the development of pollybeak deformity. The aim of this study is to detect the factors contributing to the development of pollybeak deformity in the Middle Eastern nose and methods used to prevent as well as to treat such deformity. Out of the 1,160 revision patients included in this study, 720 (62%) patients had a pollybeak deformity. The commonest contributing factors included underprojected tip with poor support in 490 (68%) patients, excessive supratip scarring in 259 (36%) patients, overresected bony dorsum in 202 (28%) patients, and high anterior septal angle in 173 (24%) patients. The methods used by the authors to treat the pollybeak deformity are described, along with the local steroid injection protocol used to guard against the recurrence of pollybeak deformity.
鹰钩鼻畸形是鼻整形修复术最常见的原因之一。中东地区的鼻型有某些易导致鹰钩鼻畸形的特征。本研究的目的是找出导致中东地区鼻型出现鹰钩鼻畸形的因素以及预防和治疗此类畸形的方法。在本研究纳入的1160例鼻整形修复患者中，720例（62%）有鹰钩鼻畸形。最常见的促成因素包括490例（68%）鼻尖低陷且支撑不足、259例（36%）鼻背上方瘢痕过多、202例（28%）鼻骨过度切除以及173例（24%）鼻中隔前角过高。文中描述了作者治疗鹰钩鼻畸形所采用的方法，以及用于防止鹰钩鼻畸形复发的局部类固醇注射方案。
