Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee.
Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California.
Facial Plast Surg. 2023 Aug;39(4):333-361. doi: 10.1055/s-0043-1768654. Epub 2023 May 9.
Preservation rhinoplasty encompasses a number of techniques that minimize disruption of the native cartilaginous and soft tissue nasal architecture. These techniques have gained popularity resulting in an increase in publications relevant to preservation rhinoplasty. However, many studies that present patient outcomes are of low-level evidence and do not incorporate validated patient-reported outcome measures. While these studies do consistently report positive outcomes, there are few high-level comparative studies that support the theoretical benefits of preservation relative to structural rhinoplasty. As contemporary preservation rhinoplasty techniques will continue to evolve and become incorporated into clinical practice, there will be the need for parallel emphasis on robust clinical studies to delineate the value of these methods.
保存性鼻整形术涵盖了许多技术，这些技术最大限度地减少了对天然软骨和软组织鼻结构的破坏。这些技术越来越受欢迎，相关的保存性鼻整形术出版物也越来越多。然而，许多展示患者结果的研究证据水平较低，并且没有纳入经过验证的患者报告的结果测量。虽然这些研究确实一致报告了积极的结果，但很少有高水平的比较研究支持与结构性鼻整形术相比，保存具有理论优势。随着当代保存性鼻整形术技术的不断发展并纳入临床实践，将需要并行强调强有力的临床研究，以阐明这些方法的价值。
