Regnault P, Alfaro A
Plast Reconstr Surg. 1980 Oct;66(4):578-90. doi: 10.1097/00006534-198010000-00013.
This study is a 6-year experience with 305 cases in which the technique was used for large noses. The techniques described is based on the Skoog rhinoplasty principle: autografting the osteocartilagineous nasal dorsum after its reduction to the best suitable shape and size, so that the osseous part of the graft lies on the remaining nasal bones. The authors have conjointly used the intracartilaginous approach, which leaves a unique scar away from the graft, and the extramucosal dissection, which keeps the graft separated from the nasal cavity by an intact mucosal lining. They also used the internal lateral osteotomy, which reduces postoperative swelling. The technique is described with all details. The cases shown demonstrate that this type of rhinoplasty prevents the middle third retraction because of the osteocartilaginous graft and most of the common secondary deformities. The analysis of results obtained in this series show 89 percent excellent (patient and surgeon pleased). Secondary correction had to be done in eight cases, by reducing or removing the graft.
本研究是一项针对305例使用该技术治疗大鼻子的6年经验总结。所描述的技术基于斯库格隆鼻术原理：将鼻背骨软骨组织缩小至最合适的形状和大小后进行自体移植，使移植组织的骨性部分置于剩余的鼻骨上。作者联合使用了软骨内入路（该入路在远离移植组织处留下独特瘢痕）和黏膜外剥离术（该术式通过完整的黏膜层使移植组织与鼻腔分离）。他们还采用了内侧鼻骨截骨术，以减轻术后肿胀。文中详细描述了该技术。所展示的病例表明，这种隆鼻术可防止因骨软骨移植导致的鼻中段回缩以及大多数常见的继发性畸形。对该系列病例结果的分析显示，89%的效果极佳（患者和医生均满意）。有8例需要进行二次矫正，通过减少或移除移植组织来实现。
