Friedman G D, Gruber R P
Department of Surgery, Mt. Zion Hospital and Medical Center, San Francisco, Calif.
Plast Reconstr Surg. 1988 Dec;82(6):973-82. doi: 10.1097/00006534-198812000-00006.
Use of the open rhinoplasty technique (ORT) in certain nasal and septal deformities has proven to be an invaluable asset in the rhinoplasty armamentarium of the authors. Primarily owing to the markedly increased exposure with this technique, more accurate assessment of the deformities is possible and additional or improved surgical maneuvers become available, particularly in the tip. Sculpting the entire cartilaginous and/or bony vault, as well as correcting difficult septal malalignments, can be carried out under better direct vision with greater precision, accuracy, and predictability. This has led to improved and more consistent final results. Previous criticisms of unsightly columellar scars have been virtually eliminated through the use of improved surgical techniques and simple magnification. Overall, open rhinoplasty technique can provide many distinct advantages in certain nasal deformities with no real disadvantages over conventional closed techniques.
在某些鼻和鼻中隔畸形中使用开放式鼻整形术（ORT）已被证明是作者鼻整形术中一项非常宝贵的技术。主要由于该技术显著增加了暴露范围，能够对畸形进行更准确的评估，并且可以采用额外的或改进的手术操作，尤其是在鼻尖部位。在更好的直视条件下，可以更精确、准确且可预测地对整个软骨性和/或骨性鼻背进行塑形，以及纠正困难的鼻中隔错位。这带来了更好且更一致的最终效果。通过使用改进的手术技术和简单的放大设备，以往对鼻小柱难看瘢痕的批评实际上已被消除。总体而言，开放式鼻整形术在某些鼻畸形中可提供许多明显优势，相较于传统的闭合式技术并无实际劣势。
