Tuncel Umut, Yurtsever Onur Hasret, Lazovic Goran, Kiran Muhsin, Chalats Nilsou
Department of Plastic Reconstructive and Aesthetic Surgery, Medical Faculty, Samsun University, 55100, Samsun, Turkey.
Department of Plastic Reconstructive and Aesthetic Surgery, Aurora Hospital, 11000, Belgrade, Serbia.
Aesthetic Plast Surg. 2025 Aug 12. doi: 10.1007/s00266-025-05139-6.
The techniques for roof modification in the context of preservation rhinoplasty focus on altering the nasal roof, which is composed of both bone and cartilage elements, without the necessity of excision while preserving its structural integrity. These techniques are particularly indicated in cases where dorsal humps require modification, as they address potential complications of rhinoplasty, such as hump recurrence, asymmetry, or nasal dorsal irregularities.
This review analyzed roof methods in the preservation rhinoplasty context. The following keywords were used to identify articles related to roof methods describing a novel technique or modification: rhinoplasty, preservation rhinoplasty, full preservation methods, dorsal preservation, surface operations, hybrid methods, roof flap, or graft in rhinoplasty. Furthermore, the paper aims to highlight the differences among the roof techniques and to disclose indications of the roof methods.
We achieved and presented three roof articles and techniques. Based on the articles' analysis, current popular techniques emphasize preserving the integrity of the nasal dorsum or nasal pyramid, which repositions the dorsum instead of excising it. Roof methods mainly involve creating dorsal roof flaps with various geometric designs and differing degrees of soft tissue preservation. This approach significantly improves natural aesthetic outcomes by reducing the dissection of skin and soft tissue while preserving the integrity of the roof.
It is our thought that roof techniques will gain greater significance over time in achieving a harmonious nasal profile, preserving functional integrity, and reducing postoperative complications. Developments in preservation rhinoplasty will further enhance the roof techniques, enabling their more frequent application even in difficult cases, and this will solidify their role as a fundamental part of modern rhinoplasty practices, resulting in improved aesthetic outcomes and faster recovery times.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
保留性鼻整形术中的鼻背修整技术着重于改变由骨和软骨成分构成的鼻背，无需切除，同时保持其结构完整性。这些技术特别适用于需要修整鼻背驼峰的情况，因为它们能解决鼻整形术的潜在并发症，如驼峰复发、不对称或鼻背不规则。
本综述分析了保留性鼻整形术中的鼻背方法。使用以下关键词来识别描述新技术或改良方法的与鼻背方法相关的文章：鼻整形术、保留性鼻整形术、完全保留方法、背侧保留、表面手术、混合方法、鼻背皮瓣、或鼻整形术中的移植。此外，本文旨在突出鼻背技术之间的差异，并揭示鼻背方法的适应症。
我们获得并展示了三篇关于鼻背的文章和技术。基于文章分析，当前流行的技术强调保留鼻背或鼻锥体的完整性，即重新定位鼻背而非切除。鼻背方法主要包括创建具有各种几何设计和不同程度软组织保留的鼻背皮瓣。这种方法通过减少皮肤和软组织的剥离，同时保持鼻背的完整性，显著改善了自然美学效果。
我们认为，随着时间的推移，鼻背技术在实现和谐鼻型、保持功能完整性以及减少术后并发症方面将变得更加重要。保留性鼻整形术的发展将进一步完善鼻背技术，使其即使在困难病例中也能更频繁地应用，这将巩固其作为现代鼻整形实践基本组成部分的作用，从而带来更好的美学效果和更快的恢复时间。
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