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重建性隆鼻术与保留性隆鼻术的利弊:手术技术、效果及未来方向

Advantages and Disadvantages of Reconstructive and Preservation Rhinoplasty: Surgical Techniques, Outcomes, and Future Directions.

作者信息

Meretsky Christopher R, Polychronis Andreas, Clark David, Liovas Dimitria, Schiuma Anthony T

机构信息

Surgery, St. George's University School of Medicine, Great River, USA.

General Surgery, St. George's University School of Medicine, Great River, USA.

出版信息

Cureus. 2024 Sep 9;16(9):e69002. doi: 10.7759/cureus.69002. eCollection 2024 Sep.

DOI:10.7759/cureus.69002
PMID:39385852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11463265/
Abstract

Reconstructive rhinoplasty, a specialized surgical procedure, aims to restore both the form and function of the nose, particularly after trauma, congenital defects, or prior surgeries. This review evaluates the advantages and disadvantages of various surgical techniques used in reconstructive and preservation rhinoplasty. The study focuses on the outcomes of commonly employed methods such as cartilage grafting, flap techniques, and alloplastic materials, assessing both functional and aesthetic results. Recent advancements, including 3D imaging, tissue engineering, and artificial intelligence, are discussed as potential future directions that could enhance surgical precision, safety, and patient care. The review systematically examines clinical studies from the past decade, highlighting the evolving landscape of rhinoplasty and its impact on patient outcomes.

摘要

鼻整形修复术是一种专门的外科手术,旨在恢复鼻子的形态和功能,尤其是在遭受创伤、先天性缺陷或先前手术后。本综述评估了鼻整形修复术和保留性鼻整形术中使用的各种手术技术的优缺点。该研究聚焦于常用方法的结果,如软骨移植、皮瓣技术和异体材料,评估其功能和美学效果。文中讨论了包括三维成像、组织工程和人工智能在内的最新进展,这些进展作为潜在的未来发展方向,有望提高手术精度、安全性和患者护理水平。该综述系统地审视了过去十年的临床研究,突出了鼻整形术不断变化的格局及其对患者治疗效果的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2961/11463265/065c44eba0be/cureus-0016-00000069002-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2961/11463265/065c44eba0be/cureus-0016-00000069002-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2961/11463265/065c44eba0be/cureus-0016-00000069002-i01.jpg

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本文引用的文献

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The current techniques in dorsal augmentation rhinoplasty: a comprehensive review.鼻背增高整形术的当前技术:综述
Maxillofac Plast Reconstr Surg. 2024 Apr 28;46(1):16. doi: 10.1186/s40902-024-00418-9.
2
Are preservation rhinoplasty techniques safer than structural ones?保存性鼻整形术技术是否比结构性鼻整形术技术更安全?
Eur Rev Med Pharmacol Sci. 2023 Oct;27(5 Suppl):11-18. doi: 10.26355/eurrev_202310_34064.
3
Lateral Crural Turn-Up Flap for Increasing the Volume of Cartilaginous Nasal Sidewall in Closed-Approach Dorsal Preservation Rhinoplasty.
外侧小腿翻转皮瓣在闭合式经鼻背保存性整形术中增加软骨侧鼻壁的体积。
Ann Plast Surg. 2023 Nov 1;91(5):524-528. doi: 10.1097/SAP.0000000000003678.
4
Open Preservation Rhinoplasty.开放式鼻整形术。
Facial Plast Surg. 2023 Oct;39(5):537-546. doi: 10.1055/s-0043-1770159. Epub 2023 Jul 12.
5
Advanced Preservation Rhinoplasty in the Era of Osteoplasty and Chondroplasty: How Have We Moved Beyond the Cottle Technique?骨成形术和软骨成形术时代的高级保留性鼻整形术:我们如何超越科特尔技术?
Aesthet Surg J. 2023 Nov 16;43(12):1441-1453. doi: 10.1093/asj/sjad194.
6
Bone Grafts in Dental Medicine: An Overview of Autografts, Allografts and Synthetic Materials.牙科医学中的骨移植:自体移植、异体移植和合成材料概述
Materials (Basel). 2023 May 31;16(11):4117. doi: 10.3390/ma16114117.
7
Preservation Rhinoplasty: A New Approach to Mestizo Noses.保留性隆鼻术:一种针对混血鼻的新方法。
Plast Reconstr Surg Glob Open. 2023 May 15;11(5):e4972. doi: 10.1097/GOX.0000000000004972. eCollection 2023 May.
8
Surgical Training Simulators for Rhinoplasty: A Systematic Review.隆鼻手术模拟器的系统评价。
Facial Plast Surg. 2024 Feb;40(1):86-92. doi: 10.1055/a-2092-6564. Epub 2023 May 12.
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Dorsal Preservation Rhinoplasty in Asian Hump Noses.亚洲驼峰鼻的背侧保留性隆鼻术。
Plast Reconstr Surg. 2024 Jan 1;153(1):91-96. doi: 10.1097/PRS.0000000000010472. Epub 2023 Mar 27.
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Ligament Preservation in Open Rhinoplasty: Prospective Analysis.开放式鼻整形术中的韧带保留:前瞻性分析。
Plast Reconstr Surg. 2023 Sep 1;152(3):540-546. doi: 10.1097/PRS.0000000000010256. Epub 2023 Feb 1.