Lee Ki-Il, Won Tae-Bin, Hyun Sangmin, Song Hyungmin, Jang Yong Ju, Choi Ji Yun, Hong Seung-No, Kim Hyo Yeol, Kim Ji Sun, Kim Soo Whan
Department of Otorhinolaryngology, Konyang University College of Medicine, Daejeon, Republic of Korea.
Department of Otorhinolaryngology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
J Rhinol. 2022 Mar;29(1):1-12. doi: 10.18787/jr.2021.00390. Epub 2022 Feb 11.
Open rhinoseptoplasty has been widely performed in the field of otorhinolaryngology. However, from the perspective of beginners, rhinoseptoplasty is a hard-to-learn surgery that involves a relatively steep learning curve. Therefore, practical guidance is essential to enhance the skills needed for excellent surgical outcomes. Here, we provide a step-wise dissection manual using a commercialized silicone nose model designed for rhinoseptoplasty. The contents include general approaches with regard to transcolumellar inverted V incision, flap elevation, osteotomy, septoplasty, modification of the lower lateral cartilage for tip surgery, and dorsal augmentation using silicone implants. In addition, we introduce novel techniques such as dorsal augmentation using a ready-made mold with tissue glue applied to diced cartilage and polycaprolactone mesh for rhinoseptoplasty. The present study also provides photos of individual surgical procedures using a silicone nose model for actual guidance. The authors expect that this manual will help beginning rhinoseptoplasty surgeons improve their confidence.
开放式鼻中隔成形术在耳鼻咽喉科领域已被广泛应用。然而，从初学者的角度来看，鼻中隔成形术是一项难学的手术，学习曲线相对较陡。因此，实践指导对于提高实现出色手术效果所需的技能至关重要。在此，我们使用一种为鼻中隔成形术设计的商业化硅胶鼻模型提供一份分步解剖手册。内容包括关于经鼻小柱倒V形切口、皮瓣掀起、截骨术、鼻中隔成形术、鼻尖手术中下外侧软骨的修整以及使用硅胶植入物进行鼻背增高的一般方法。此外，我们还介绍了一些新技术，如使用现成模具并在切碎的软骨上涂抹组织胶水以及使用聚己内酯网进行鼻中隔成形术的鼻背增高。本研究还提供了使用硅胶鼻模型进行各个手术步骤的照片以提供实际指导。作者期望本手册将有助于初涉鼻中隔成形术的外科医生增强信心。
