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鼻翼畸形的分类及相关治疗。

Classification of alar abnormalities and the relevant treatments.

机构信息

Department of Plastic and Aesthetic Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022 Jan 28;47(1):123-128. doi: 10.11817/j.issn.1672-7347.2022.210359.

Abstract

At present, nasal abnormalities is often classified from different perspectives, such as the alar-columella relationship, nasal base width, and the condition of alar hyperplasia. However, due to the impact of race and region, different people may be applied to different classification methods, resulting in different clinical diagnosis and treatments. So far, there is no unified standard for alar deformity classification to guide clinical treatment. In alar-columella relationship, the retracted ala and the hanging columella, hanging ala and retracted columella are easily confused. According to the classification of nasal base width, it is easy to confuse the alar flare with wide alar base. Therefore, the accurate preoperative evaluation of the nasal ala and the selection of appropriate clinical treatments for different abnormalities are beneficial for surgeons to achieve perfect rhinoplasty results.

摘要

目前,人们通常从不同角度对鼻翼畸形进行分类,如鼻翼-小柱关系、鼻翼基底宽度以及鼻翼过度增生等。但是,由于种族和地域的影响,不同的人可能会应用不同的分类方法,导致不同的临床诊断和治疗。到目前为止,鼻翼畸形分类还没有统一的标准来指导临床治疗。在鼻翼-小柱关系中,容易混淆回缩的鼻翼和悬垂的小柱、悬垂的鼻翼和回缩的小柱。根据鼻翼基底宽度的分类,容易将鼻翼外展与鼻翼基底宽大相混淆。因此,准确的术前评估鼻翼,并为不同的异常选择合适的临床治疗方法,有利于外科医生实现完美的鼻整形效果。

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Classification of alar abnormalities and the relevant treatments.鼻翼畸形的分类及相关治疗。
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本文引用的文献

2
Management of Ala Columella Disproportion in South East Asian Noses.
Facial Plast Surg. 2020 Oct;36(5):505-516. doi: 10.1055/s-0040-1717081. Epub 2020 Dec 24.
3
Systematic Surgical Approach to Alar Base Surgery in Rhinoplasty.系统的鼻翼基部整形手术入路。
Plast Reconstr Surg. 2020 Dec;146(6):1259-1267. doi: 10.1097/PRS.0000000000007385.
6
Open Structure Approach to the European or Caucasian Nose.
Otolaryngol Clin North Am. 2020 Apr;53(2):237-254. doi: 10.1016/j.otc.2019.12.003. Epub 2020 Feb 13.
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Alar Base Reduction and Alar-Columellar Relationship.鼻翼基底缩小及鼻翼-鼻小柱关系
Facial Plast Surg Clin North Am. 2018 Aug;26(3):367-375. doi: 10.1016/j.fsc.2018.03.010.
10
Components of the Hanging Columella: Strategies for Refinement.悬垂鼻小柱的组成部分:优化策略。
Plast Reconstr Surg. 2018 Jan;141(1):46e-54e. doi: 10.1097/PRS.0000000000003569.

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