Johnson C M, Godin M S
Hedgewood Surgical Center, New Orleans, La.
Plast Reconstr Surg. 1995 Jan;95(1):43-51. doi: 10.1097/00006534-199501000-00006.
The term tension nose is known to many rhinoplastic surgeons, yet confusion exists as to its precise meaning. We define the tension deformity as excessive growth of the quadrilateral cartilage, resulting in a high nasal dorsum and anterior and sometimes inferior displacement of the nasal tip cartilages. A review of the surgical literature shows that little attention has been given to the evaluation and management of this problem. We reviewed 50 consecutive primary rhinoplasty candidates and found that 46 percent had some manifestation of tension deformity that required correction at the time of surgery. The techniques of open structure rhinoplasty are ideally suited to manage the tension nose. The essence of correction is a deprojection-reprojection process. First, excessive elements of the septal cartilage and anterior nasal spine, which comprise what we have termed the nasal pedestal, are reduced, resulting in tip deprojection. Open structure methods are then employed to achieve reprojection of the domes by using cartilage grafts and suturing techniques to build strength, support, and elegance into the nasal tip.
许多鼻整形医生都知道“张力鼻”这个术语，但对于其确切含义仍存在困惑。我们将张力畸形定义为四边形软骨过度生长，导致鼻背过高以及鼻尖软骨向前移位，有时还会向下移位。回顾外科文献发现，对这个问题的评估和处理很少受到关注。我们对50例连续的初次鼻整形患者进行了回顾，发现46%的患者有一些张力畸形表现，需要在手术时进行矫正。开放式鼻整形技术非常适合处理张力鼻。矫正的关键是一个去突出-再突出的过程。首先，减少构成我们所称鼻基底的鼻中隔软骨和前鼻棘的多余部分，从而使鼻尖去突出。然后采用开放式方法，通过使用软骨移植和缝合技术来增强鼻尖的强度、支撑力和美观度，实现穹窿的再突出。
