Kinnebrew M C, Emison J W
St. Jude Medical Center, Kenner, LA.
J Craniomaxillofac Surg. 1987 Dec;15(6):312-25. doi: 10.1016/s1010-5182(87)80077-x.
This study measures the changes in nasal morphology which accompany simultaneous rhinoplastic and orthognathic reconstruction. The sample includes 25 patients treated over a four-year period, using either facial degloving access or more limited nasal skeletonization in combination with oral incisions. Midfacial and maxillary procedures were performed, as were mandibular osteotomies, intercurrent to both nasal reduction and augmentation. Radiographic, photographic, and clinical assessment selected for skeletal stability and nasal airflow, followed by nasal dorsum, nasal tip, alar and columellar bases, and labial modifications. The relationships of skeletal to soft tissue movements thus obtained are discussed by way of establishing norms, comparing the two approaches, and integrating recent innovations of both rhinoplastic and orthognathic surgery to this abbreviated mode of anatomic and functional reconstruction.
本研究测量了同期鼻整形与正颌重建手术过程中鼻腔形态的变化。样本包括在四年期间接受治疗的25例患者，采用面部掀翻入路或更有限的鼻骨架化联合口腔切口。进行了面中部和上颌手术，以及下颌骨截骨术，与鼻缩小和鼻增大手术同时进行。通过影像学、摄影和临床评估来选择骨骼稳定性和鼻气流情况，随后对鼻背、鼻尖、鼻翼和鼻小柱基部以及唇部进行调整。通过建立规范、比较两种方法以及将鼻整形和正颌外科的最新创新技术整合到这种简化的解剖和功能重建模式中，来讨论由此获得的骨骼与软组织运动之间的关系。
