Nadimi Sahar, Kim David W
Department of Otolaryngology, Head and Neck Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA; Private Practice, Facial Plastic and Reconstructive Surgery, 1S 280 Summit, Suite C-4, Oakbrook Terrace, IL 60181, USA.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 55 Francisco Street, Suite 705, San Francisco, CA 94103, USA; Private Practice, Facial Plastic and Reconstructive Surgery, 55 Francisco Street, Suite 705, San Francisco, CA 94133, USA.
Facial Plast Surg Clin North Am. 2017 May;25(2):251-262. doi: 10.1016/j.fsc.2016.12.008. Epub 2017 Feb 21.
Reduction rhinoplasty techniques include maneuvers that weaken the nasal osseocartilaginous framework. The structurally compromised anatomy remaining after reductive surgery may be left with inadequate strength to withstand postoperative contractile forces. Significant aesthetic and functional deformities requiring revision rhinoplasty may develop. This article reviews common causes of nasal obstruction after primary rhinoplasty. The discussion of etiology is based on both the anatomic description of nasal subsites (middle vault and lateral walls) as well as an explanation of why certain techniques lead to functional problems in these areas. Revision rhinoplasty techniques for correcting these problems are discussed in detail.
鼻整形术的缩窄技术包括削弱鼻骨软骨框架的操作。缩窄手术后剩余的结构受损解剖结构可能缺乏足够的强度来承受术后的收缩力。可能会出现需要鼻整形修复的明显美学和功能畸形。本文回顾了初次鼻整形术后鼻塞的常见原因。病因讨论基于鼻亚部位（中鼻拱和侧壁）的解剖学描述以及对某些技术为何会导致这些区域出现功能问题的解释。文中还详细讨论了纠正这些问题的鼻整形修复技术。
