Burget G C, Menick F J
Plast Reconstr Surg. 1985 Aug;76(2):239-47. doi: 10.1097/00006534-198508000-00010.
The nasal surface is made up of several concave and convex surfaces separated from one another by ridges and valleys. Gonzalez-Ulloa has designated the nose an aesthetic unit of the face. These smaller parts (tip, dorsum, sidewalls, alar lobules, and soft triangles) may be called topographic subunits. When a large part of a subunit has been lost, replacing the entire subunit rather than simply patching the defect often gives a superior result. This subunit approach to nasal reconstruction causes unsatisfactory border scars of flaps to mimic the normal shadowed valleys and lighted ridges of the nasal surface. Furthermore, as trapdoor contraction occurs, the entire reconstructed subunit bulges in a way that simulates the normal contour of a nasal tip, dorsal hump, or alar lobule. Photographs show five patients in whom this principle was followed and one in whom it was not.
鼻面由几个凹凸表面组成，它们被嵴和沟彼此分隔。冈萨雷斯 - 乌略亚将鼻子指定为面部的一个美学单位。这些较小的部分（鼻尖、鼻背、侧壁、鼻翼小叶和软三角）可称为局部亚单位。当一个亚单位的大部分缺失时，替换整个亚单位而非仅仅修补缺损通常会产生更好的效果。这种用于鼻重建的亚单位方法使皮瓣的边缘瘢痕不令人满意，以模仿鼻面正常的阴影沟和明亮嵴。此外，随着活板门收缩的发生，整个重建的亚单位会以模拟鼻尖、鼻背驼峰或鼻翼小叶正常轮廓的方式隆起。照片展示了遵循这一原则的五名患者和未遵循这一原则的一名患者。
