Goga D, Robier A, Mateu J, Beutter P
Service de Chirurgie Maxillo-Faciale, CHU Trousseau, Tours.
Ann Otolaryngol Chir Cervicofac. 1988;105(2):123-5.
Choice of graft for repair of a saddle nose in 23 patients, usually late sequelae of nasal fracture, varied with degree of concavity : moderate anomalies usually by cartilaginous graft, major lesions by iliac bone graft. Postoperative course was always simple. The Rethi approach was used when a bone graft was necessary, with a minimum esthetic ransom, and a skin flap of V-Y advancement at the expense of the white labrum when there was insufficiency of columellar height. Although results were assessed as satisfactory by the patients, the difficulties in obtaining excellent results in this type of rhinoplasty are emphasized, imperfections being frequent : filling of nasofrontal angle, asymmetry of naries orifices and fixed nose appearance.
23例鞍鼻修复患者移植物的选择通常是鼻骨折的晚期后遗症，根据凹陷程度而异：中度畸形通常采用软骨移植，严重病变采用髂骨移植。术后过程总是很简单。当需要骨移植时采用雷蒂入路，以最小的美学代价，当鼻小柱高度不足时采用以白色唇缘为代价的V-Y推进皮瓣。尽管患者对结果评价满意，但强调了在这类鼻整形术中获得优异结果的困难，不足之处很常见：鼻额角填充、鼻孔不对称和鼻子外观固定。
