Figallo E
Plastic Surgery Division, Carlos J. Bello Hospital, Caracas, Venezuela.
Plast Reconstr Surg. 1995 Jun;95(7):1178-84. doi: 10.1097/00006534-199506000-00006.
In my study of patients consulting for facial profile imperfections, I have found a pathology that is related neither to the osseous nor to the cartilaginous structure, since it is an individual entity corresponding to a defined muscular activity. I detected and described the morphology of a digastric muscle (m. digastricus nasi-septi labialis) that links the nose to the upper lip with a columellar portion originating in the nasal tip and a labial portion, both joined in the center by an intermediate tendon functioning as a pulley, which is inserted in the anterior nasal spine. These muscular portions may function either independently or synchronously. The imperfection will appear according to the predominance of one or the other, or both, and the contracture of the two muscular portions. In this paper a didactic classification is established as septum 0, I, II, or III according to the levels of seriousness.
在我对因面部轮廓缺陷前来咨询的患者的研究中，我发现了一种与骨骼结构和软骨结构均无关的病理情况，因为它是一种与特定肌肉活动相对应的独立实体。我检测并描述了一块二腹肌（鼻-鼻中隔唇二腹肌）的形态，该肌肉将鼻子与上唇相连，其鼻中隔部分起源于鼻尖，唇部部分则通过一条起滑轮作用的中间腱在中央相连，该腱插入前鼻棘。这些肌肉部分可以独立或同步发挥作用。根据其中一个或另一个、或两者的优势以及两个肌肉部分的挛缩情况，缺陷将会出现。在本文中，根据严重程度建立了一种教学分类，分为鼻中隔0级、I级、II级或III级。
