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循证医学:鼻整形术的当前实践

Evidence-Based Medicine: Current Practices in Rhinoplasty.

作者信息

Tanna Neil, Nguyen Khang T, Ghavami Ashkan, Calvert Jay W, Guyuron Bahman, Rohrich Rod J, Gruber Ronald P

机构信息

New York, N.Y.; Beverly Hills and Palo Alto, Calif.; Cleveland, Ohio; and Dallas Texas.

From the Division of Plastic and Reconstructive Surgery, Northwell Health, Hofstra Northwell School of Medicine; the Division of Plastic and Reconstructive Surgery, University of California, Los Angeles; the Division of Plastic and Reconstructive Surgery, University of Southern California; the Department of Plastic and Reconstructive Surgery, Case Western Reserve University; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Division of Plastic and Reconstructive Surgery, Stanford University.

出版信息

Plast Reconstr Surg. 2018 Jan;141(1):137e-151e. doi: 10.1097/PRS.0000000000003977.

Abstract

LEARNING OBJECTIVES

After studying this article, the participant should be able to: 1. Perform aesthetic and functional nasal analysis to guide septorhinoplasty. 2. Recognize common complications associated with rhinoplasty. 3. Select appropriate septorhinoplasty techniques to refine nasal aesthetics and treat nasal airway obstruction. 4. Identify factors leading to poor patient satisfaction following rhinoplasty.

SUMMARY

Septorhinoplasty is among the most technically challenging procedures in the realm of plastic and reconstructive surgery. Moreover, it is a constantly evolving topic with extensive background literature. Surgeons must be comfortable with the traditional knowledge base and the current practices in the field. This article reviews the latest thinking on patient selection, functional indications, aesthetic analysis, and operative techniques in septorhinoplasty, with an emphasis on key cartilage grafting and tip suture techniques.

摘要

学习目标

在学习本文后,参与者应能够:1. 进行美学和功能性鼻分析以指导鼻中隔鼻成形术。2. 识别与鼻成形术相关的常见并发症。3. 选择合适的鼻中隔鼻成形术技术以改善鼻美学并治疗鼻气道阻塞。4. 确定导致鼻成形术后患者满意度低的因素。

总结

鼻中隔鼻成形术是整形和重建外科领域中技术要求最高的手术之一。此外,它是一个不断发展的主题,有大量的背景文献。外科医生必须熟悉该领域的传统知识库和当前实践。本文回顾了鼻中隔鼻成形术中关于患者选择、功能适应症、美学分析和手术技术的最新观点,重点是关键的软骨移植和鼻尖缝合技术。

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