Policlinique Esthetique Marigny Vincennes, Vincennes, France.
Cosmed Plastic Surgery, Istanbul.
Facial Plast Surg Clin North Am. 2024 Nov;32(4):495-516. doi: 10.1016/j.fsc.2024.06.001. Epub 2024 Jul 20.
The reshaping of the nasal pyramid has evolved significantly over the past 20 years. Mechanical instruments have been refined to minimize the bone trauma of osteotomies. However, these instruments can inadvertently cause radiated fractures and comminuted fractures, which compromise bone stability and can create surface defects. Electric and piezoelectric instruments (PEI) have been developed to address these issues. PEI instruments are selective unlike electric instruments. These instruments allow for precise rhinosculpture and osteotomies under direct visual control. The article reviews the advantages and disadvantages of each method by comparing them for the most frequently performed procedures on the nasal bone pyramid in rhinoplasty.
在过去的 20 年中，鼻锥体的重塑发生了重大变化。机械仪器经过改良，将最大限度地减少截骨术的骨创伤。然而，这些器械可能会无意中导致放射状骨折和粉碎性骨折，从而破坏骨稳定性并导致表面缺陷。为了解决这些问题，已经开发出了电动和压电器械（PEI）。与电动器械不同，PEI 器械具有选择性。这些器械允许在直接视觉控制下进行精确的鼻整形术和截骨术。通过比较鼻骨锥体整形术中最常进行的手术，本文综述了每种方法的优缺点。
