在鼻整形术中，对于皮肤较厚的患者，采用 Supratip 缝线和皮肤评分技术。
Supratip suture and skin scoring technique in the patient with thick skin in rhinoplasty.
机构信息
Meltem Gökay Plaza, Atatürk Blv. No:23/41, 07070 Konyaaltı/Antalya, Turkey.
Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.
出版信息
Am J Otolaryngol. 2022 Nov-Dec;43(6):103481. doi: 10.1016/j.amjoto.2022.103481. Epub 2022 May 6.
OBJECTIVE
The aim of this study is to demonstrate a new surgical technique to achieve ideal nasal tip rotation and projection with nasal supratip angle in patients with thick skin.
METHOD
Supratip suture and skin scoring technique was used in 24 patients who underwent open technique septorhinoplasty operation between the years 2019 and 2022. In this technique the nose skin was thinned with scissors. Scoring and supratip sutures were applied to the skin. Kenacort (Triamcinolone 8 mg) was injected into the supratip area without closing the skin. Fourteen of the patients were female and 10 were male.
RESULT
The mean age of the patients was 22. The mean follow-up time of the patients was between 6 and 18 months. No complications were observed due to this technique. Satisfactory results were obtained in the postoperative period after surgery.
CONCLUSION
A new surgical approach has been proposed to create the desired dimensions with nasal tip rotation and projection and supratip angle in patients with thick skin using the supratip suture and skin scoring technique.
目的
本研究旨在展示一种新的手术技术，以实现厚皮患者理想的鼻尖旋转和突出度，并获得理想的鼻尖突出角。
方法
2019 年至 2022 年间，我们对 24 例接受开放式鼻中隔成形术的患者采用了鼻尖缝线和皮肤划线技术。在该技术中，我们使用剪刀对鼻尖皮肤进行减张处理。对皮肤进行划线和鼻尖缝线固定，然后在不缝合皮肤的情况下于鼻尖突出区注射曲安奈德（曲安奈德 8mg）。24 例患者中，女性 14 例，男性 10 例。
结果
患者的平均年龄为 22 岁。患者的平均随访时间为 6 至 18 个月。由于采用了该技术，患者未出现任何并发症。术后获得了令人满意的效果。
结论
我们提出了一种新的手术方法，即使用鼻尖缝线和皮肤划线技术，通过在厚皮患者中进行鼻尖缝线和皮肤划线，可获得理想的鼻尖旋转和突出度以及鼻尖突出角。
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