Campbell Carey F, Pezeshk Ronnie A, Basci Deniz S, Scheuer Jack F, Sieber David A, Rohrich Rod J
Dallas, Texas.
From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
Plast Reconstr Surg. 2017 Jul;140(1):33e-42e. doi: 10.1097/PRS.0000000000003480.
The unique anatomy of the soft-tissue triangle makes it prone to notching in primary, secondary, and reconstructive rhinoplasty. Understanding the anatomy of the region is critical to appropriate treatment. This article is meant to further clarify the anatomy of the soft-tissue triangle and to present the senior author's (R.J.R.) approach to proactive correction and prevention of soft-tissue triangle notching through five key steps: (1) precise dissection and incision placement, (2) providing internal support with cartilage grafting if needed, (3) closure of dead space, (4) avoiding undue tension during closure, and (5) providing external support postoperatively.
软组织三角区独特的解剖结构使其在初次、二次及修复性鼻整形术中容易出现切迹。了解该区域的解剖结构对于恰当的治疗至关重要。本文旨在进一步阐明软组织三角区的解剖结构，并介绍资深作者（R.J.R.）通过五个关键步骤对软组织三角区切迹进行主动矫正和预防的方法：（1）精确解剖和切口定位；（2）必要时用软骨移植提供内部支撑；（3）封闭死腔；（4）缝合时避免过度张力；（5）术后提供外部支撑。
