Na Hyung Gyun, Jang Yong Ju
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Facial Plast Surg. 2017 Apr;33(2):189-194. doi: 10.1055/s-0036-1598015. Epub 2017 Apr 7.
Dorsal augmentation is an essential procedure not only for Asians, who generally have indistinct and poorly developed nasal bridges, but also for Africans and Caucasians, who have similar dorsal deficiencies. There is no single ideal implant or graft for dorsal augmentation. Dorsal augmentation with autologous materials is considered ideal by many surgeons. However, harvesting autologous material is associated with donor-site complications, and these materials are difficult to handle and shape. Despite concerns over complications such as infection, extrusion, and deviation, alloplastic implant materials such as silicone or Gore-Tex have a critically important role in typical cosmetic dorsal augmentation due to their ease of use in producing a cosmetically appealing outcome and evading donor-site complications. A thorough understanding of the shape of an aesthetically pleasing nose, appropriate surgical technique, and proper management methods for complications are the mainstay for the success of dorsal augmentation using alloplastic implants.
鼻背增高术不仅对鼻梁通常不明显且发育不良的亚洲人至关重要，对有类似鼻背缺陷的非洲人和高加索人也同样重要。目前尚无单一的理想植入物或移植物用于鼻背增高。许多外科医生认为使用自体材料进行鼻背增高是理想的方法。然而，获取自体材料会引发供区并发症，并且这些材料难以处理和塑形。尽管存在感染、移位和偏斜等并发症的担忧，但硅酮或戈尔特斯等异体植入材料在典型的美容性鼻背增高术中仍起着至关重要的作用，因为它们易于使用，能产生美观的效果并避免供区并发症。全面了解美观鼻型的形状、合适的手术技术以及并发症的恰当处理方法是使用异体植入物进行鼻背增高术成功的关键。
