Department of Otorhinolaryngology-Head and Neck Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Otolaryngology, University at Buffalo-State University of New York, Buffalo, NY, USA; Emeritus, Mayo Clinic Alix School of Medicine, Rochester, MN, USA; Gromo Foundation for Medical Education and Research, Buffalo, NY, USA.
Facial Plast Surg Clin North Am. 2021 Feb;29(1):1-14. doi: 10.1016/j.fsc.2020.08.003.
There are 2 approaches for lowering the osseocartilaginous nasal dorsum. The most frequently used method includes resection of the osseocartilaginous nasal dorsum. The second method is based on preservation of the osseocartilaginous nasal dorsum. The concept of dorsal preservation surgery is to preserve, not resect, the nasal bones and upper lateral cartilage. Reduction rhinoplasty with preservation of the nasal dorsum is not only possible, but results in a natural appearing postoperative dorsal esthetic line. Thus, the rhetorical question: Why reconstruct the nasal dorsum when you can simply preserve it?
有两种降低骨性-软骨性鼻背的方法。最常用的方法包括切除骨性-软骨性鼻背。第二种方法基于保留骨性-软骨性鼻背。背侧保留手术的概念是保留而不是切除鼻骨和上外侧软骨。保留鼻背的缩鼻术不仅是可能的，而且术后的背侧美学线呈现出自然的外观。因此，可以提出这样一个反问句：既然可以简单地保留，为什么要重建鼻背呢？
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