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 Oct;39(5):537-546. doi: 10.1055/s-0043-1770159. Epub 2023 Jul 12.
Preservation of native nasal structures in rhinoplasty has aesthetic and functional benefits. This ideology can be implemented within open surgical approaches and in the context of structural modifications of the nose, particularly the nasal tip (structural preservation). In addition, modifications of preservation techniques and hybrid approaches to the osseocartilaginous vault have resulted in expanded indications for preservation of the nasal dorsum. These modifications and indications, as well as septal management in preservation cases, are discussed here in the context of an open approach. Importantly, patient-reported measures suggest that both preservation and structural approaches can yield excellent outcomes. An understanding and integration of both techniques offer great versatility for the rhinoplasty surgeon.
在鼻整形术中保留原生的鼻部结构具有美学和功能上的优势。这种理念可以在开放式手术方法中实现，也可以应用于鼻部结构的改建，尤其是鼻尖（结构保留）。此外，对保留技术的改良和对骨性-软骨性穹隆的混合方法，扩大了保留鼻背的适应证。在此，我们将在开放式入路的背景下讨论这些改良和适应证，以及在保留病例中鼻中隔的处理。重要的是，患者报告的测量结果表明，保留和结构性方法都可以产生出色的效果。对这两种技术的理解和整合为鼻整形术医生提供了极大的灵活性。
