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软骨鼻背复位技术。

Cartilaginous Dorsum Repositioning Technique.

作者信息

Azimov Gorkhmaz

出版信息

Plast Reconstr Surg Glob Open. 2021 Jan 21;9(1):e3151. doi: 10.1097/GOX.0000000000003151. eCollection 2021 Jan.

DOI:10.1097/GOX.0000000000003151
PMID:33564565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7858224/
Abstract

UNLABELLED

Hump (dorsum) reduction is one of the most desired outcomes of primary rhinoplasty. However, serious complications relating to the current methods exist. Reduction of the nasal spine by way of traditional rhinoplasty leads to destruction of the nasal anatomy, and reconstruction is needed for aesthetic and functional reasons. As a result, the natural anatomy of the nose becomes altered dramatically. The purpose of this study was to demonstrate that the preservation of only the cartilaginous part of the nasal dorsum was possible during hump reduction.

METHODS

From September 2018 to December 2019, the author performed a total of 210 rhinoplasties using a cartilaginous dorsum repositioning technique (CDRT). Statistical analysis was also performed.

RESULTS

CDRT resulted in relatively limited edema and more rapid patient recovery in comparison with the traditional rhinoplasty technique used. No serious complications were observed using this new technique.

CONCLUSIONS

This technique allows for the treatment of almost 90% of primary rhinoplasty patients, without destruction of the cartilaginous portion of the nasal dorsum and septum cartilage, and allows us to save nasal anatomy almost in its entirety. At the same time, we are able to obtain great aesthetic results.

摘要

未标注

驼峰(鼻背)缩小是初次隆鼻最期望实现的效果之一。然而,当前方法存在严重并发症。通过传统隆鼻术缩小鼻棘会导致鼻解剖结构破坏,出于美学和功能原因需要进行重建。结果,鼻子的自然解剖结构会发生显著改变。本研究的目的是证明在驼峰缩小过程中仅保留鼻背的软骨部分是可行的。

方法

2018年9月至2019年12月,作者共进行了210例采用软骨背侧重新定位技术(CDRT)的隆鼻手术。还进行了统计分析。

结果

与所使用的传统隆鼻技术相比,CDRT导致的水肿相对有限,患者恢复更快。使用这种新技术未观察到严重并发症。

结论

该技术能够治疗近90%的初次隆鼻患者,而不破坏鼻背和鼻中隔软骨的软骨部分,并且几乎能完整保留鼻部解剖结构。同时,我们能够获得极佳的美学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdf/7858224/58513938f7a2/gox-9-e3151-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdf/7858224/143280fa17e6/gox-9-e3151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdf/7858224/23bb8cb4fc1d/gox-9-e3151-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdf/7858224/58513938f7a2/gox-9-e3151-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdf/7858224/143280fa17e6/gox-9-e3151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdf/7858224/23bb8cb4fc1d/gox-9-e3151-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdf/7858224/58513938f7a2/gox-9-e3151-g003.jpg

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2
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Braz J Otorhinolaryngol. 2019 Mar-Apr;85(2):176-182. doi: 10.1016/j.bjorl.2017.11.009. Epub 2017 Dec 26.
3
The Preservation Rhinoplasty: A New Rhinoplasty Revolution.保留性鼻整形术:一场新的鼻整形术革命。
Aesthet Surg J. 2018 Feb 17;38(2):228-229. doi: 10.1093/asj/sjx258.
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Dorsal Preservation: The Push Down Technique Reassessed.保留背侧:重新评估下压技术
Aesthet Surg J. 2018 Feb 17;38(2):117-131. doi: 10.1093/asj/sjx180.
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Commentary on: Dorsal Preservation: The Push Down Technique Reassessed.
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Facial Plast Surg. 2016 Feb;32(1):111-6. doi: 10.1055/s-0035-1570503. Epub 2016 Feb 10.
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