Plastic surgeon in private practice, Napoli, Italy.
Plastic surgeon in private practice, Monterrey, Mexico.
Aesthetic Plast Surg. 2022 Oct;46(5):2389-2397. doi: 10.1007/s00266-021-02261-z. Epub 2021 May 13.
Preservation rhinoplasty philosophy with its "down techniques" is currently undergoing a renaissance. Its goal is to spare and preserve noble nasal structures such as ligaments, nerves and vessels, reducing to a minimum local tissue manipulation and avoiding the drawbacks and pitfalls associated with classic dorsal reconstruction techniques often resulting in irregularities which often lead to an increased rhinoplasty revision rate.
In this article, we reviewed 107 consecutive cases in which a variety of preservation techniques were used. Indications, surgical techniques and complications are also described.
All reported procedures showed low complication rates with good cosmetic and functional outcomes.
Tailoring the surgical technique is essential in rhinoplasty. Authors have developed and present an anatomy-based diagram to help surgeons in choosing the right approach for dorsal surgery.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .
目前，“向下技术”的保存性鼻整形术理念正在复兴。其目标是保留和保护如韧带、神经和血管等高贵的鼻结构，将局部组织操作减至最小，并避免与经典的背侧重建技术相关的缺点和陷阱，这些技术通常会导致不规则，从而导致鼻整形术修复率增加。
在本文中，我们回顾了 107 例连续病例，其中使用了各种保存技术。还描述了适应证、手术技术和并发症。
所有报告的手术均显示出低并发症发生率，具有良好的美容和功能效果。
在鼻整形术中，定制手术技术至关重要。作者开发并提出了一种基于解剖学的图表，以帮助外科医生选择正确的背侧手术方法。
证据等级 IV：本杂志要求作者为每篇文章分配一个证据等级。有关这些基于证据的医学评级的完整描述，请参阅目录或在线作者指南 www.springer.com/00266。
