Jang Yong Ju, Moon Hyun
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Facial Plast Surg. 2020 Oct;36(5):554-562. doi: 10.1055/s-0040-1717144. Epub 2020 Dec 24.
Although not as prevalent as in Caucasian rhinoplasty, correction of a hump nose also poses a significant problem for East Asian rhinoplasty. The hump noses in East Asians can be classified as generalized humps, isolated humps, and relative humps with a low tip. Appropriate management of the Asian hump nose demands a good understanding of the anatomical characteristics unique to East Asians. As the East Asians generally prefer to have a nose with a prominent tip and well-augmented nasal dorsum, the concept of redistribution is significant in managing convex dorsum of the East Asians. Hump reduction should be done in a conservative and incremental manner, including careful removal of the bony cap and cartilaginous hump. Tip augmentation using a septal extension graft is an essential maneuver to achieve an aesthetically pleasing tip height, which has a tremendous impact on the overall aesthetic outcome. Midvault reconstruction, dorsal augmentation, and camouflage are additional key elements for the success of the operation. Complications such as undercorrection and dorsal irregularities are not uncommon, requiring surgeons to take utmost care to address them.
尽管驼峰鼻矫正在东亚隆鼻术中不像在高加索人隆鼻术中那样普遍，但它也是东亚隆鼻术的一个重大问题。东亚人的驼峰鼻可分为广泛性驼峰、孤立性驼峰和鼻尖较低的相对性驼峰。对亚洲驼峰鼻进行适当处理需要充分了解东亚人特有的解剖特征。由于东亚人通常更喜欢鼻尖突出且鼻背充分隆起的鼻子，因此重新分布的概念在处理东亚人凸起的鼻背时很重要。驼峰鼻矫正应以保守和渐进的方式进行，包括仔细去除骨帽和软骨性驼峰。使用鼻中隔延伸移植物进行鼻尖抬高是实现美观鼻尖高度的关键操作，这对整体美学效果有巨大影响。鼻中段重建、鼻背增高和掩饰是手术成功的其他关键要素。矫正不足和鼻背不规则等并发症并不罕见，需要外科医生格外小心地处理。
