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原发性鼻整形术中软骨膜下-骨膜下解剖的“3 点分区”技术,以减少肿胀和明确轮廓。

The "3 Points Compartmentalization" Technique in Subperichondrial-Subperiosteal Dissection in Primary Rhinoplasty to Reduce Edema and Define Contour.

机构信息

Villa Sant'Apollonia, via Giovanni Motta, 37, 24123, Bergamo, BG, Italy.

Clínica San Camilo, Avenida Angel Gallardo, 899, Capital Federal, Buenos Aires, Argentina.

出版信息

Aesthetic Plast Surg. 2022 Aug;46(4):1923-1931. doi: 10.1007/s00266-022-02957-w. Epub 2022 Jun 3.

DOI:10.1007/s00266-022-02957-w
PMID:35657393
Abstract

Proper control of postoperative edema in rhinoplasty matters significantly, both regarding patient satisfaction and preventing loss of definition and aesthetic surface contour in the dorsum and tip. The "3 points compartmentalization" technique described in this paper aims to fulfill the above goals by (1) dissection in a subperichondrial-subperiosteal plane and (2) reducing the dead space by three strategically placed key sutures that compartmentalize the nose and redrape the single-plane dissection in an anatomically correct position.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

在鼻整形术中,正确控制术后肿胀非常重要,这不仅关乎患者满意度,还关乎防止背侧和鼻尖的形态定义和美学表面轮廓丧失。本文所述的“三点分区”技术旨在通过以下两种方式实现上述目标:(1)在软骨膜下-骨膜下平面进行解剖;(2)通过三个位置策略性放置的关键缝线来减少死腔,从而分区鼻部并将单层解剖重新覆盖在解剖学上正确的位置。证据等级 IV 本刊要求作者为每篇文章指定一个证据等级。如需详细了解这些基于证据的医学分级,请参考目录或在线作者指南 www.springer.com/00266 。

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Clin Plast Surg. 2022 Jan;49(1):97-109. doi: 10.1016/j.cps.2021.07.006. Epub 2021 Sep 2.
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Deformation of Needle Tips During Facial Soft Tissue Filler Injections: An Electron-Microscopic Study.针尖在面部软组织填充注射过程中的变形:电子显微镜研究。
Aesthet Surg J. 2021 Nov 12;41(12):NP2011-NP2019. doi: 10.1093/asj/sjab211.
3
Rhinoplasty Dissection Planes (Subcutaneous, Sub-SMAS, Supra-perichondral, and Sub-perichondral) and Soft Tissues Management.
隆鼻术解剖平面(皮下、皮下 SMAS、骨膜上和骨膜下)和软组织处理。
Facial Plast Surg. 2021 Feb;37(1):2-11. doi: 10.1055/s-0041-1723825. Epub 2021 Feb 25.
4
Key Points in Subperichondrial-Subperiosteal Dissection.软骨膜下-骨膜下剥离的关键点。
Facial Plast Surg Clin North Am. 2021 Feb;29(1):39-45. doi: 10.1016/j.fsc.2020.09.002.
5
Spare Roof Technique Versus Component Dorsal Hump Reduction: A Randomized Prospective Study in 250 Primary Rhinoplasties, Aesthetic and Functional Outcomes.备用穹顶技术与组件背驼峰减少术:250 例原发性鼻整形术的随机前瞻性研究,美学和功能结果。
Aesthet Surg J. 2021 Feb 12;41(3):288-300. doi: 10.1093/asj/sjaa221.
6
The Keystone, Scroll Complex, and Interdomal Area of the Nose: Histologic and Anatomical Observations.鼻的嵴、鼻甲和鼻中隔区域:组织学和解剖学观察。
Plast Reconstr Surg. 2020 Jul;146(1):75-79. doi: 10.1097/PRS.0000000000006895.
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