RinoIstanbul Facial Plastic Surgery Clinic, Istanbul, Turkey.
FPS Center-FPS and Maxillofacial, Nice, France.
Facial Plast Surg. 2021 Feb;37(1):12-21. doi: 10.1055/s-0040-1715622. Epub 2021 Jan 27.
Preservation rhinoplasty is a new way to reshape the nose by preserving the dorsum, nasal ligaments, soft tissue envelope, and muscles. This new concept provides the opportunity to achieve a more natural aesthetic and functional result. To achieve a good aesthetic and functional outcome while maintaining surgical safety, knowledge of the relevant anatomy is key. This is especially true for the preservation rhinoplasty technique, where a firm grasp of the anatomy of the nasal soft tissue and bony-cartilaginous framework is critical. The preservation technique is made more accessible by the open approach, which provides an opportunity for the deformity to be clearly visualized from the tip of the nose and the dorsum. Furthermore, tip plasty is easier to perform under direct vision, which is an advantage of the open approach. The goal of this article is therefore to make clear all the important anatomical structures and their relevance to the surgical steps taken when performing the open preservation rhinoplasty technique.
保留性鼻整形术是一种通过保留鼻背、鼻韧带、软组织包膜和肌肉来重塑鼻子的新方法。这个新概念为实现更自然的美学和功能效果提供了机会。为了在保持手术安全性的同时获得良好的美学和功能效果，了解相关解剖结构是关键。对于保留性鼻整形术技术来说尤其如此，因为需要牢牢掌握鼻软组织和骨性-软骨性框架的解剖结构。开放式入路使保留技术更容易实现，因为它可以从鼻尖和鼻背清晰地观察到畸形。此外，在直视下进行鼻尖成形术更容易，这是开放式入路的优势。因此，本文的目的是阐明所有重要的解剖结构及其与开放式保留性鼻整形术技术中所采取的手术步骤的相关性。
