McCollough E G, Mangat D
Arch Otolaryngol. 1981 Jan;107(1):12-6. doi: 10.1001/archotol.1981.00790370014002.
Surgical correction of the nasal tip is considered to be the most difficult component of rhinoplasty. We describe a systematic method of analyzing and operating on the tip, and discuss the anatomical factors that contribute to tip support. The "tripod" theory of tip projection, support, and rotation is described and illustrated. Altering tip support and excising portions of the lower lateral cartilages have a decided effect on the tripod and the eventual outcome of the nasal tip. We describe four categories of tip procedures, namely, complete strip, rim strip, lateral crural flap, and dome division. An attempt is made to provide the rhinoplasty surgeon with the different techniques from which to choose for each specific type of nasal tip deformity.
鼻尖的手术矫正被认为是鼻整形术中最困难的部分。我们描述了一种分析和操作鼻尖的系统方法，并讨论了有助于鼻尖支撑的解剖学因素。描述并举例说明了鼻尖突出、支撑和旋转的“三脚架”理论。改变鼻尖支撑和切除下外侧软骨部分对三脚架和鼻尖的最终结果有决定性影响。我们描述了四类鼻尖手术，即完全条带法、边缘条带法、外侧脚皮瓣法和穹窿分离法。试图为鼻整形外科医生提供针对每种特定类型鼻尖畸形可供选择的不同技术。
