Jeong Jae-Yong, Kim Taek-Kyun, Ku Inhoe, Najmiddinov Bakhtiyor
THE PLUS Plastic Surgery Clinic, Seoul, Republic of Korea.
Plastic and Reconstructive Surgery, Shox International Hospital, Tashkent, Uzbekistan.
Arch Plast Surg. 2024 Feb 28;51(1):2-13. doi: 10.1055/a-2201-8219. eCollection 2024 Jan.
Although osteotomy is commonly performed in rhinoplasty, it is difficult for less experienced surgeon to understand mechanism of the procedure. The primary goal of this study is to improve understanding of nasal osteotomy in Asians by considering the surface aesthetics and anatomy of the nose as well as their relationships with the surgical procedure. Surface aesthetics, anatomic considerations, kinetics of medial and lateral osteotomy, fracture levels of osteotomy were discussed in detail by reviewing the previous publications and 18 years of our experience. Moreover, the technical details of osteotomy were explained and personal tips for performing successful osteotomy were described. Dorsal and lateral aesthetic lines, dorsal and basal widths are main characteristics related to the surface aesthetics of nose to perform the osteotomy. In addition, these features are different in Asian population due to the anatomic difference with Caucasians, which makes the procedure difficult and requires more attention to perform osteotomy. Because osteotomy is one of the most traumatic and invasive part of the rhinoplasty, it is crucial for the rhinoplasty surgeon to understand the relationship between surface aesthetics and osteotomy techniques to produce consistent and reproducible results.
尽管截骨术在鼻整形术中较为常用，但经验不足的外科医生很难理解该手术的机制。本研究的主要目的是通过考虑鼻的表面美学、解剖结构以及它们与手术操作的关系，提高对亚洲人鼻截骨术的理解。通过回顾以往的文献以及我们18年的经验，详细讨论了表面美学、解剖学考量、内外侧截骨术的动力学以及截骨术的骨折水平。此外，还解释了截骨术的技术细节，并描述了成功实施截骨术的个人技巧。鼻背和鼻侧美学线、鼻背和鼻基底宽度是与鼻表面美学相关的主要特征，以进行截骨术。此外，由于亚洲人与高加索人的解剖学差异，这些特征在亚洲人群中有所不同，这使得手术操作困难，进行截骨术时需要更多关注。由于截骨术是鼻整形术中创伤最大、侵入性最强的部分之一，对于鼻整形外科医生来说，理解表面美学与截骨术技术之间的关系以产生一致且可重复的结果至关重要。
