Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, 1215 21st Avenue, South Suite 7209 Medical Center East, South Tower, Nashville, TN 37232, USA.
Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94304, USA; Department of Otolaryngology-Head & Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Mansoura University, Faculty of Medicine, 25 El Gomhouria St, Dakahlia Governorate 35516, Egypt.
Facial Plast Surg Clin North Am. 2021 Feb;29(1):29-37. doi: 10.1016/j.fsc.2020.08.004.
There has been particular recent interest in dorsal preservation rhinoplasty techniques because of claims of superior functional and aesthetic results relative to conventional hump reductions. The septum in dorsal preservation rhinoplasty is managed in a variety of ways with differences largely based on the location of septal excision (subdorsal resection, midseptal resection, and inferior septal resection). The technical considerations of a modified subdorsal strip method using a structural preservation technique are described. This technique maintains a subdorsal and caudal strut of cartilage. Patient-reported measures demonstrate significantly improved functional and aesthetic outcomes postoperatively with this procedure.
最近人们对背侧保留鼻整形术技术特别感兴趣，因为据称与传统驼峰减少术相比，其具有更好的功能和美学效果。在背侧保留鼻整形术中，鼻中隔的处理方式多种多样，差异主要基于鼻中隔切除术的位置（背侧下鼻甲切除术、中隔切除术和下鼻甲切除术）。本文介绍了一种使用结构性保留技术的改良背侧下鼻甲条带法的技术要点。该技术保留了背侧和尾侧的软骨支柱。患者报告的测量结果显示，该手术术后的功能和美学效果显著改善。
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