Courtiss E H
Ann Plast Surg. 1978 Sep;1(5):443-9. doi: 10.1097/00000637-197809000-00002.
The author has reviewed the 69 patients upon whom he has performed septorhinoplasty in treatment of posttraumatic deformities. These have been followed over a 12-year period; however, only the 59 followed over one year have been studied. In analyzing the deformities, it was noted that three characteristics occur alone or in combination: excessive width, depression, and twisting. The wide nose was best treated by removal of medial tissue, full mobilization of the nasal bones, and postoperative compression exercises. The depressed nose was built forward by onlay grafts, the first choice being septal cartilage. Finally, the twisted nose was treated by freeing the nasal components, straightening the bone and cartilage, and replacing them in their anatomical positions. Not infrequently all three problems were treated in one operative session.
作者回顾了他为治疗创伤后畸形而进行鼻中隔鼻成形术的69例患者。这些患者随访了12年；然而，仅对随访超过一年的59例患者进行了研究。在分析畸形情况时，发现有三个特征单独或合并出现：宽度过大、凹陷和扭曲。宽鼻最好通过切除内侧组织、充分活动鼻骨以及术后进行压迫练习来治疗。凹陷的鼻子通过嵌体移植向前塑形，首选鼻中隔软骨。最后，扭曲的鼻子通过松解鼻结构、矫正骨和软骨并将它们放回解剖位置来治疗。在一次手术中常常会同时处理所有这三个问题。
