Jadczak Marcin, Krzywdzińska Sandra, Jurkiewicz Dariusz
Department of Otolaryngology with Division of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine-National Research Institute, Warsaw, Poland.
Private Practice, MEA Clinic, Warsaw, Poland.
Facial Plast Surg. 2025 Jun;41(3):334-341. doi: 10.1055/s-0044-1787723. Epub 2024 Jun 18.
A key component of a well-performed rhinoplasty is to obtain the proper, aesthetic shape of the nasal tip. Various surgical techniques have been developed to achieve this effect. In this work, the author wanted to focus not only on the satisfactory shape of the nose, but above all on its main role-functionality. In this article, the asymmetrical lateral crus steal (ALCS) technique is proposed, which in its assumption will enable narrowing, better defining and rotating of the nasal tip, and at the same time enhancing nasal patency. We present a retrospective analysis within the group of 267 patients who underwent primary open-approach rhinoplasty that included the ALCS technique. The mean follow-up time was 12 months. A total of 232 patients achieved very good postoperative results without observation of any serious complications related to breathing difficulties or asymmetry of the nasal tip shape. ALCS is a relatively simple surgical technique to perform. The use of the ALCS suture creates the possibility of proper profiling of the nasal tip while improving the respiratory functions of the nose.
一台成功的鼻整形手术的一个关键组成部分是获得鼻尖合适的美学形状。已经开发出各种手术技术来实现这一效果。在这项工作中，作者不仅想专注于鼻子令人满意的形状，而且最重要的是其主要功能。在本文中，提出了不对称外侧脚窃取（ALCS）技术，该技术在其设想中能够使鼻尖变窄、轮廓更清晰并旋转，同时增强鼻腔通畅度。我们对267例行一期开放式鼻整形手术（包括ALCS技术）的患者进行了回顾性分析。平均随访时间为12个月。共有232例患者术后效果非常好，未观察到任何与呼吸困难或鼻尖形状不对称相关的严重并发症。ALCS是一种相对简单的手术技术。使用ALCS缝线在改善鼻子呼吸功能的同时，为鼻尖进行适当塑形创造了可能性。
