Vuyk H D, Olde Kalter P
Department of Otolaryngology, Facial Plastic and Reconstructive Surgery, Gooi-Noord Hospital, Blaricum, The Netherlands.
Rhinology. 1993 Dec;31(4):175-82.
There are two approaches for septorhinoplasty, the endonasal approach and the external approach. The external approach is much criticized for the risk of columellar skin flap necrosis and visible scar formation. This series of patients has shown that the risk can be minimized using a mid-columellar broken incision with a meticulous closure technique. The exposure of the surgical anatomy is much better than with the endonasal approach, leading to better insight in nasal deformities and more detailed reconstruction. There seems to be no reasonable objection which can be raised against the columellar incision to reject the open approach.
鼻中隔成形术有两种方法，即鼻内入路和鼻外入路。鼻外入路因存在鼻小柱皮瓣坏死和明显瘢痕形成的风险而备受诟病。该系列患者表明，采用鼻小柱中部断裂切口并结合细致的缝合技术可将风险降至最低。手术解剖结构的暴露比鼻内入路要好得多，从而能更好地了解鼻畸形情况并进行更详细的重建。对于鼻小柱切口以拒绝开放式手术入路，似乎没有合理的反对意见。
