Guyuron B
Division of Plastic Surgery, Mount Sinai Hospital, Cleveland, Ohio.
Plast Reconstr Surg. 1988 Apr;81(4):489-99.
I describe a simple technique of full-scale life-size photography using marker/stickers and a ruler at the side of the face as an index for magnification. I also report a technique of soft-tissue cephalometric analysis that consists of some new proportion and some old angles and measurements. This technique will enable the plastic surgeon, even if not artistically inclined, to draw an aesthetically pleasing and very proportionate profile outline of the nose and measure the proportions of the front view on the majority of patients. The difference between the patient's nasal outline and the planned nasal definition is then measured and expressed in quarters of millimeters to give the surgeon a very precise numeric guide for surgery. This will help the plastic surgeon define the aesthetic goals very accurately and also might be helpful in detecting other facial disharmonies that might be influential in the outcome of the rhinoplasty. Using this technique of analysis, along with the prediction guidelines extrapolated from my study on soft-tissue response to surgical alteration, one can develop a fairly predictable approach to rhinoplasty.
我描述了一种简单的全尺寸真人大小摄影技术，使用标记物/贴纸以及面部一侧的尺子作为放大倍率的指标。我还报告了一种软组织头影测量分析技术，该技术包含一些新的比例以及一些传统的角度和测量方法。这项技术将使整形外科医生，即使没有艺术倾向，也能够为大多数患者绘制出美观且比例非常协调的鼻子侧面轮廓，并测量正面视图的比例。然后测量患者鼻轮廓与计划的鼻外形之间的差异，并以四分之一毫米为单位表示，为外科医生提供非常精确的手术数值指导。这将有助于整形外科医生非常准确地确定美学目标，并且可能有助于检测其他可能影响隆鼻手术结果的面部不协调情况。使用这种分析技术，结合从我对手术改变的软组织反应研究中推断出的预测指南，人们可以制定出一种相当可预测的隆鼻手术方法。
