Farrior R T
Laryngoscope. 1978 Sep;88(9 Pt 1):1449-59. doi: 10.1002/lary.1978.88.9.1449.
The purpose is to assist the surgeon in the selection of modifications for nasal osteotomies. Details of the technique include: 1. Incision for osteotomy made perpendicular to the pyriform rim and modified incisions, intraoral or through the Weir incision. 2. Rasping of the lateral nasal vault prior to any osteotomies. 3. Removal of a modified beveled wedge of bone prior to the medial osteotomy, unroofing the bony dorsum to a higher level. 4. The medial osteotomy done prior to either the lateral or the intermediate osteotomy. The intermediate osteotomy is performed prior to the lateral. 5. "Complete" and "fading" medial osteotomies are utilized as indicated. 6. The lateral osteotomy may be relatively straight and low depending then on a transverse fracture or may be high and curved meeting the fading medial osteotomy. 7. A sub-periosteal tunnel with the osteotome guard external to the bone is preferred to a submucosal tunnel.
目的是协助外科医生选择鼻骨截骨术的改良方法。该技术细节包括：1. 截骨切口垂直于梨状缘，并采用改良切口，可经口或通过韦尔切口。2. 在任何截骨术前对鼻外侧穹窿进行锉削。3. 在鼻内侧截骨术前去除一块改良的斜角楔形骨，将鼻背骨顶至更高水平。4. 鼻内侧截骨术在鼻外侧或中间截骨术之前进行。中间截骨术在鼻外侧截骨术之前进行。5. 根据需要采用“完全”和“渐淡”鼻内侧截骨术。6. 鼻外侧截骨术可能相对较直且位置较低，形成横向骨折，也可能较高且呈弧形，与渐淡的鼻内侧截骨术相接。7. 与黏膜下隧道相比，采用骨膜下隧道且骨凿保护装置位于骨外侧更为可取。
