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为什么初次鼻整形会失败。

Why Primary Rhinoplasty Fails.

机构信息

From the Dallas Plastic Surgery Institute.

出版信息

Plast Reconstr Surg. 2021 Nov 1;148(5):1021-1027. doi: 10.1097/PRS.0000000000008494.

DOI:10.1097/PRS.0000000000008494
PMID:34705776
Abstract

Rhinoplasty remains one of the most challenging operations performed by plastic surgeons. The complexity lies in the ability to have a consistent and predictable aesthetic result. The unpredictability is mainly attributable to the interplay of manipulated internal structures and wound healing dynamics. In addition, setting realistic expectations with the patient is essential for achieving high postoperative patient satisfaction. An open rhinoplasty approach enables an accurate and in-depth evaluation and intervention. The authors provide a detailed analysis and discussion on why primary rhinoplasty fails, along with the surgical approach for preventing these failures.

摘要

隆鼻术仍然是整形外科医生施行的最具挑战性的手术之一。其难度在于能否获得一致且可预测的美学效果。这种不可预测性主要归因于内部结构的操作和伤口愈合的动态变化。此外,与患者建立切合实际的期望对于获得高术后患者满意度至关重要。开放式鼻整形术可实现准确和深入的评估和干预。作者详细分析和讨论了初次鼻整形术失败的原因,以及预防这些失败的手术方法。

相似文献

1
Why Primary Rhinoplasty Fails.为什么初次鼻整形会失败。
Plast Reconstr Surg. 2021 Nov 1;148(5):1021-1027. doi: 10.1097/PRS.0000000000008494.
2
Correction of the Over-resected Nose.过度切除鼻畸形的矫正
Facial Plast Surg Clin North Am. 2019 Nov;27(4):451-463. doi: 10.1016/j.fsc.2019.07.003. Epub 2019 Aug 30.
3
Frequency of the preoperative flaws and commonly required maneuvers to correct them: a guide to reducing the revision rhinoplasty rate.术前缺陷的频率和常见需要纠正的操作:降低修复性鼻整形术发生率的指南。
Plast Reconstr Surg. 2013 Oct;132(4):769-776. doi: 10.1097/PRS.0b013e3182a01457.
4
Nasal and facial analysis.鼻腔和面部分析。
Clin Plast Surg. 2010 Apr;37(2):181-9. doi: 10.1016/j.cps.2009.12.006.
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Secondary cleft nose rhinoplasty: Subjective and objective outcome evaluation.继发性鼻裂鼻整形术:主观和客观结果评估。
J Craniomaxillofac Surg. 2015 Nov;43(9):1855-62. doi: 10.1016/j.jcms.2015.08.012. Epub 2015 Aug 29.
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Rhinoplasty: surface aesthetics and surgical techniques.隆鼻术:表面美学与手术技术。
Aesthet Surg J. 2013 Mar;33(3):363-75. doi: 10.1177/1090820X13478968.
7
Long-term use and follow-up of irradiated homologous costal cartilage grafts in the nose.鼻部辐照同种肋软骨移植物的长期使用及随访
Arch Facial Plast Surg. 2009 Nov-Dec;11(6):378-94. doi: 10.1001/archfacial.2009.91.
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Correction of the twisted nose deformity: a surgical algorithm using the external rhinoplasty approach.扭曲鼻畸形的矫正:一种采用鼻外整形术方法的手术方案
Am J Rhinol. 1998 May-Jun;12(3):213-20. doi: 10.2500/105065898781390091.
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Soft tissue rhinoplasty.软组织隆鼻术
J Otolaryngol. 1994 Oct;23(5):335-43.
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Rhinoplasty Refinements: Revision Rhinoplasty Using Fresh Frozen Costal Cartilage Allograft.隆鼻修复术:使用新鲜冷冻肋软骨同种异体移植物的修复性隆鼻术。
Plast Reconstr Surg. 2020 Jun;145(6):1050e-1053e. doi: 10.1097/PRS.0000000000006864.

引用本文的文献

1
Graft Paste to Tackle Nasal Dorsal Irregularities: A Comparative, Prospective, Double Blinded Study.用于解决鼻背不规则问题的移植糊剂:一项对比性、前瞻性、双盲研究。
Aesthetic Plast Surg. 2025 Feb;49(3):705-713. doi: 10.1007/s00266-024-04302-9. Epub 2024 Aug 21.
2
The Use of Posterior Auricular Fascia Graft (PAFG) for Slight Dorsal Augmentation and Irregular Dorsum Coverage in Primary and Revision Rhinoplasty: A Prospective Study.应用耳后筋膜瓣(PAFG)在初次和修复性鼻整形术中进行轻度的鼻背增高和不规则的鼻背覆盖:一项前瞻性研究。
Aesthetic Plast Surg. 2024 Mar;48(5):862-871. doi: 10.1007/s00266-023-03571-0. Epub 2023 Aug 25.