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鼻整形术中骨帽楔形截骨术：微小鼻骨驼峰缩小术

Wedge Osteectomy of Bony Cap in Rhinoplasty: Minor Nasal Bone Hump Reduction.

作者信息

Cologlu Harun, Eyuboglu Atilla Adnan

机构信息

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Istinye University Liv Hospital, Istanbul, Turkey.

Department of Plastic and Reconstructive Surgery, Bahcelievler Memorial Hospital, Arel University, Istanbul, Turkey.

出版信息

Ann Afr Med. 2024 Oct 1;23(4):556-562. doi: 10.4103/aam.aam_70_23. Epub 2024 Aug 19.

DOI:10.4103/aam.aam_70_23
PMID:39164950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11556504/
Abstract

BACKGROUND

Hump reduction with traditional ostectomy is an invasive procedure performed in aesthetic rhinoplasty. Natural and flawless nasal dorsum can be obtained with wedge ostectomy (WO) technique.

OBJECTIVE

The objective of this study is to describe the nasal dorsum WO technique and examine its effectiveness in correcting nasal dorsum with absent and minor humps in patients undergoing aesthetic rhinoplasty.

MATERIALS AND METHODS

Senior author performed 488 rhinoplasty and septorhinoplasty operations from April 2009 to April 2021. After exclusion of major hump patients, the remaining 312 patients had a secondary evaluation for suitability for wedge ostectomy. After secondary examination, 87 patients, including 19 with absent humps (0 mm) and 68 with small humps (1-3 mm) were operated.

RESULTS

Nasal bone hump reduction with WO has proven satisfactory results in majority of patients, minimal revision in done in five patients but no complications were occurred related to this method.

CONCLUSIONS

Nasal dorsum WO provides lesser invasive approach to bony hump reduction in selected patients, ensuring bone cortex continuity in nasal dorsum. It decreases possible dorsal nasal irregularities associated with conventional coronal plane ostectomies. At the same time, it provides a natural and anatomically accurate nasal dorsum.

摘要

背景

在美容鼻整形术中，采用传统截骨术进行驼峰鼻矫正属于侵入性手术。采用楔形截骨术（WO）可获得自然且完美的鼻背。

目的

本研究旨在描述鼻背楔形截骨术技术，并检验其在美容鼻整形术患者中矫正无驼峰及小驼峰鼻背的有效性。

材料与方法

资深作者在2009年4月至2021年4月期间进行了488例鼻整形术和鼻中隔鼻整形术。排除大驼峰患者后，对其余312例患者进行了楔形截骨术适用性的二次评估。二次检查后，对87例患者进行了手术，其中包括19例无驼峰（0毫米）患者和68例小驼峰（1 - 3毫米）患者。

结果

采用楔形截骨术进行鼻骨驼峰矫正已在大多数患者中取得了满意的效果，5例患者进行了最小程度的修复，但未发生与该方法相关的并发症。

结论

鼻背楔形截骨术为特定患者的骨驼峰矫正提供了侵入性较小的方法，确保了鼻背骨皮质的连续性。它减少了与传统冠状面截骨术相关的鼻背不规则可能性。同时，它提供了自然且解剖结构准确的鼻背。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/ad28788914ba/AAM-23-556-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/85193477a698/AAM-23-556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/cac097b032b0/AAM-23-556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/c94806f9cad3/AAM-23-556-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/68bdee82cc56/AAM-23-556-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/64eaf065a640/AAM-23-556-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/3e2dcea95b16/AAM-23-556-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/6d30daef2d72/AAM-23-556-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/ad28788914ba/AAM-23-556-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/85193477a698/AAM-23-556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/cac097b032b0/AAM-23-556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/c94806f9cad3/AAM-23-556-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/68bdee82cc56/AAM-23-556-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/64eaf065a640/AAM-23-556-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/3e2dcea95b16/AAM-23-556-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/6d30daef2d72/AAM-23-556-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096f/11556504/ad28788914ba/AAM-23-556-g008.jpg

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本文引用的文献

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Aesthet Surg J. 2020 Oct 24;40(11):1168-1178. doi: 10.1093/asj/sjaa061.
2
A Review and Modification of Dorsal Preservation Rhinoplasty Techniques.《经鼻后入路鼻中隔偏曲矫正术技术的回顾与改良》
Facial Plast Surg Aesthet Med. 2020 Mar/Apr;22(2):71-79. doi: 10.1089/fpsam.2020.0017.
3
Dorsal Preservation: The Push Down Technique Reassessed.保留背侧：重新评估下压技术
Aesthet Surg J. 2018 Feb 17;38(2):117-131. doi: 10.1093/asj/sjx180.
4
Spare Roof Technique: A Middle Third New Technique.备用瓣技术：一种中三分之一区域的新技术。
Facial Plast Surg. 2016 Feb;32(1):111-6. doi: 10.1055/s-0035-1570503. Epub 2016 Feb 10.
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Rhinoplasty: surface aesthetics and surgical techniques.隆鼻术：表面美学与手术技术。
Aesthet Surg J. 2013 Mar;33(3):363-75. doi: 10.1177/1090820X13478968.
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Wedge resection and modified mattress suture for correcting anterior septal deviation: how we do it.用于矫正鼻中隔前偏曲的楔形切除术及改良褥式缝合术：我们的操作方法
Clin Otolaryngol. 2011 Oct;36(5):504-9. doi: 10.1111/j.1749-4486.2011.02346.x.
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Effect of the sequence of lateral osteotomy and hump removal on the aesthetic outcome.外侧截骨和驼峰去除顺序对美学效果的影响。
Aesthetic Plast Surg. 2011 Aug;35(4):603-7. doi: 10.1007/s00266-010-9626-3. Epub 2010 Nov 25.
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Nasal hump reduction with powered micro saw osteotomy.使用动力微型锯截骨术进行鼻背驼峰矫正。
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J Craniofac Surg. 2007 Sep;18(5):1098-100. doi: 10.1097/scs.0b013e3180de6489.
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The wide nasal dorsum: evaluation and management.宽鼻背：评估与处理。
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