Adamson P A, Morrow T A
Department of Otolaryngology, University of Toronto, Ontario, Canada.
Otolaryngol Head Neck Surg. 1994 Sep;111(3 Pt 1):219-31. doi: 10.1177/01945998941113P110.
It is generally agreed that rhinoplasty is the most challenging procedure performed by the facial plastic surgeon. Mastery of nasal tip maneuvers to alter tip projection, rotation, and lobule refinement is intrinsic to successful rhinoplasty technique. The nasal hinge region comprises the most lateral aspect of the lower lateral cartilage. Its importance is often overlooked. As the foundation of the nasal base, it plays a key role in tip dynamics and can be sculpted to significantly modify projection, rotation, and lobule refinement. One hundred randomly selected rhinoplasty patients were studied with respect to the indications for hinge maneuvers, techniques applied, and resulting affect on tip aesthetics. Clinical results are shown. The applicability of these hinge techniques is compared with other lateral crural techniques. The importance of the hinge region in rhinoplasty dynamics and the necessity of knowledgeably applying surgical maneuvers in this region are discussed.
人们普遍认为，隆鼻术是面部整形外科医生进行的最具挑战性的手术。掌握鼻尖操作以改变鼻尖突出度、旋转度和小叶精细度是成功隆鼻技术的内在要求。鼻铰链区域包括下外侧软骨的最外侧部分。其重要性常常被忽视。作为鼻基底的基础，它在鼻尖动态中起关键作用，并且可以通过塑形来显著改变突出度、旋转度和小叶精细度。对100例随机选择的隆鼻患者进行了关于铰链操作的适应证、应用技术以及对鼻尖美学的最终影响的研究。展示了临床结果。将这些铰链技术的适用性与其他外侧脚技术进行了比较。讨论了铰链区域在隆鼻动态中的重要性以及在该区域明智地应用手术操作的必要性。
