Merlin Philippine, Fanous Amanda, Marie Jean-Paul, Mardion Nicolas Bon, Benmoussa Nadia
Department of Otolaryngology, Head and Neck Surgery, Rouen University Hospital, Rouen, France.
Division of Facial Plastic Surgery, Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal, Canada.
Arch Clin Cases. 2021 Oct 27;6(1):1-5. doi: 10.22551/2019.22.0601.10147. eCollection 2019.
Concave lower lateral cartilages not only cause an esthetic defect but can also lead to external nasal valve insufficiency. The objective of this article is to analyze the combination of two well-known surgical techniques: turning over the alar cartilages as well as the addition of grafts in order to obtain satisfying esthetic and functional long term results.
From August 2016 to July 2018, 62 rhinoplasties, a combination of both primary and revision cases, were performed at the Rouen University Hospital in France. Six of these involved the correction of concave alar cartilages. The turnover technique alone or in combination with Batten grafts was performed.
Immediate and 3-months post-operative esthetic results using the turnover flap technique were satisfactory. Alar batten grafts were occasionally employed in order to maintain the newly positioned alar cartilages and avoid long-term contour depressions.
The combination of these two techniques seems to be an interesting solution to maintain long-term esthetic results.
鼻外侧软骨凹陷不仅会导致美学缺陷，还可能导致鼻外阀功能不全。本文的目的是分析两种著名手术技术的联合应用：翻转鼻翼软骨以及添加移植物，以获得令人满意的长期美学和功能效果。
2016年8月至2018年7月，法国鲁昂大学医院进行了62例隆鼻手术，包括初次手术和修复手术。其中6例涉及鼻翼软骨凹陷的矫正。单独采用翻转技术或与鼻撑移植物联合使用。
采用翻转皮瓣技术的术后即刻和3个月美学效果令人满意。偶尔采用鼻翼鼻撑移植物来维持重新定位的鼻翼软骨，避免长期轮廓凹陷。
这两种技术的联合应用似乎是维持长期美学效果的一个有趣解决方案。
