Otolaryngology Head & Neck Surgery, Rush University Medical School, Chicago, IL, USA.
Department of Otolaryngology, University of Texas Medical Branch, Galveston Texas and Facial Plastic Surgery Associates, Houston, TX, USA.
Facial Plast Surg Clin North Am. 2024 Nov;32(4):603-624. doi: 10.1016/j.fsc.2024.06.011. Epub 2024 Aug 1.
Structure rhinoplasty and preservation rhinoplasty are 2 popular philosophies that can be used alone or in combination to provide a hybrid approach. Structure rhinoplasty is the leading option for revision rhinoplasty and utilizes cartilage grafting techniques to support and reconstruct the nose. Preservation rhinoplasty spares bone, cartilage, ligaments, and soft tissues to minimize the need for grafting and preserves the favorable features of the nose. Structural preservation rhinoplasty uses dorsal preservation in the upper two-thirds of the nose and structure rhinoplasty in the lower third. This hybrid approach has great utility in primary, revision, and reconstructive rhinoplasty.
结构鼻整形和保留鼻整形是两种流行的理念，可以单独使用或结合使用，提供一种混合方法。结构鼻整形是修复性鼻整形的首选方法，它利用软骨移植技术来支撑和重建鼻子。保留鼻整形则保留了骨骼、软骨、韧带和软组织，以尽量减少移植的需要，并保留鼻子的有利特征。结构性保留鼻整形在上三分之二的鼻子中使用背侧保留，在下三分之一的鼻子中使用结构鼻整形。这种混合方法在原发性、修复性和重建性鼻整形中具有很大的应用价值。
