DeVictor Samuel R, Tollefson Travis T
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento, California.
Facial Plast Surg. 2023 Dec;39(6):668-673. doi: 10.1055/a-2127-3665. Epub 2023 Jul 11.
The characteristic cleft nasal deformity presents several challenges for the rhinoplasty surgeon attempting to provide the optimal nasal function and appearance for their patient. One of the difficulties with cleft rhinoplasty is how best to address the malposition alar base. The purpose of this review is to evaluate the various surgical approaches and techniques for properly repositioning the alar base for cleft patients. Outcomes are ultimately dependent on individual patient factors, anatomy, surgical technique, and surgeon experience. Below, we will review the variety of techniques used, the evidence supporting certain techniques, and our preferences.
典型的鼻裂畸形给鼻整形医生带来了诸多挑战,他们试图为患者提供最佳的鼻腔功能和外观。鼻裂整形的困难之一在于如何最好地处理鼻翼基底位置异常的问题。本综述的目的是评估为腭裂患者正确重新定位鼻翼基底的各种手术方法和技术。最终结果取决于个体患者因素、解剖结构、手术技术和医生经验。下面,我们将回顾所使用的各种技术、支持某些技术的证据以及我们的偏好。