From the Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center.
Plast Reconstr Surg. 2022 Apr 1;149(4):779e-788e. doi: 10.1097/PRS.0000000000008918.
After studying this article, the participant should be able to: (1) Preoperatively evaluate the patient with a crooked nose. (2) Develop a comprehensive preoperative plan specific to the patient. (3) Effectively "deconstruct" and rebuild the crooked nose to address both aesthetic and functional concerns. (4) Use postoperative techniques to maximize outcomes.
Correction of the crooked nose requires a detailed understanding of the relevant surgical anatomy, identification of the deforming forces-both intrinsic and extrinsic-contributing to the deformity, and knowledge of techniques needed to effect the desired change. This continuing medical education article takes the reader through the evaluation and formulation processes to develop a patient-specific plan and provides surgical pearls necessary to get the best results possible. Most importantly, this article emphasizes the need to treat the crooked nose as a reconstructive rather than routine aesthetic operation.
学习本文后，参与者应能够：（1）术前评估歪鼻患者。（2）针对患者制定全面的术前计划。（3）有效地“解构”并重建歪鼻，以解决美观和功能问题。（4）使用术后技术使结果最大化。
矫正歪鼻需要详细了解相关的手术解剖结构，确定导致畸形的内在和外在变形力，并掌握实现所需改变所需的技术。这篇继续医学教育文章将引导读者完成评估和制定计划的过程，为患者制定特定的计划，并提供获得最佳效果所需的手术要点。最重要的是，本文强调需要将歪鼻视为重建而不是常规的美容手术。
