Berghaus Alexander
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Ludwig Maximilian University, Grosshadern Campus, Munich, Germany.
Facial Plast Surg. 2016 Aug;32(4):402-8. doi: 10.1055/s-0036-1585422. Epub 2016 Aug 5.
Rhinoplasty is one of the most commonly performed cosmetic surgeries and, in many cases, an elective procedure. Therefore, it is crucial to assess the functional and aesthetic issues of the patient accurately and devise the proper surgical strategy most beneficial to the patient. Modern rhinoplasties can be approached by two distinct techniques: the open technique or the closed, endonasal technique. While most rhinosurgeons today prefer the open procedure due its superior access to the nasal scaffold and overview over the surgical field in particular, we highlight in this article techniques and benefits of endonasal rhinoplasty and critically discuss situations where such an approach yields superior results. Each rhinoplasty procedure, with its inherent strengths and weaknesses, has to be matched with a given nasal condition and the desired results to offer the maximum benefit to the patient. Therefore, each rhinosurgeon should be knowledgeable and trained in the endonasal technique. Open rhinosurgery is not always necessary and may even be disadvantageous in some cases.
隆鼻术是最常施行的整形手术之一，在许多情况下是一种选择性手术。因此，准确评估患者的功能和美学问题并制定最有利于患者的适当手术策略至关重要。现代隆鼻术可通过两种不同的技术进行：开放式技术或闭合式鼻内技术。虽然如今大多数鼻外科医生更喜欢开放式手术，因为它能更好地进入鼻支架并能全面观察手术视野，但在本文中，我们将重点介绍鼻内隆鼻术的技术和优势，并批判性地讨论这种方法能产生更好效果的情况。每种隆鼻手术都有其固有的优缺点，必须与特定的鼻腔状况和期望的效果相匹配，才能为患者带来最大益处。因此，每位鼻外科医生都应该了解并接受鼻内技术的培训。开放式鼻手术并非总是必要的，在某些情况下甚至可能不利。
