Pruthi Asheema, Dobratz Eric, Dougherty William
Eastern Virginia Medical School, Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, Norfolk, Virginia.
Facial Plast Surg. 2023 Dec;39(6):609-615. doi: 10.1055/a-2148-2141. Epub 2023 Aug 3.
Early reductive rhinoplasty techniques focused on hump reduction and tip plasty with minimal focus on treating or preserving the integrity and width of the middle vault. With time, rhinoplasty surgeons noted the aesthetic and functional complications of the deformities that may occur in the middle vault with reduction techniques and developed methods to treat and also avoid these complications. Thus, the importance of protecting the integrity of the middle third of the nose has been increasingly emphasized over the years. Primary deformities of the middle vault that result in nasal obstruction require attention of the rhinoplasty surgeon, as well as preservation of support structures of the middle vault and internal nasal valve to minimize secondary deformities and functional compromise after rhinoplasty surgery.
早期的鼻整形术主要集中在降低鼻背驼峰和鼻尖整形，而对中鼻道的完整性和宽度的处理或保留关注较少。随着时间的推移，鼻整形外科医生注意到采用缩小技术时中鼻道可能出现的畸形所带来的美学和功能并发症，并开发了治疗和避免这些并发症的方法。因此，多年来，保护鼻中部三分之一的完整性的重要性日益受到重视。导致鼻塞的中鼻道原发性畸形需要鼻整形外科医生的关注，同时要保留中鼻道和鼻内瓣膜的支撑结构，以尽量减少鼻整形术后的继发性畸形和功能损害。
