Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar - Universidade do Porto, Hospital da Luz - Arrábida, Clínica do Nariz e Face, Porto, Portugal.
Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar - Universidade do Porto, Porto, Portugal.
Facial Plast Surg Clin North Am. 2023 Feb;31(1):45-57. doi: 10.1016/j.fsc.2022.08.005.
Classical dorsal preservation rhinoplasty is typically done with impaction osteotomies (push/let down) and a low septal strip. These approaches are potentially highly destabilizing maneuvers in the architecture of the nasal pyramid. This is one of the reasons why these approaches did not have a popular acceptance in the 1960s and 1970s. More recently, the surgeon interested in preservation rhinoplasty has the possibility to do so with surface techniques with more control and, if needed, is easily converted to the standard structured techniques if the surgeon does not feel safe with the procedure.
经典的经鼻背入路鼻整形术通常采用骨切开术（推/下推）和低位鼻中隔条。这些方法在鼻锥体结构中可能是高度不稳定的操作。这也是为什么这些方法在 20 世纪 60 年代和 70 年代没有被广泛接受的原因之一。最近，对鼻整形术感兴趣的外科医生可以使用表面技术进行更有效的保留性鼻整形术，如果外科医生对手术过程感到不安全，也可以很容易地转换为标准的结构性技术。
