McKinney P, Loomis M G, Wiedrich T A
Plast Reconstr Surg. 1993 Aug;92(2):346-51. doi: 10.1097/00006534-199308000-00025.
Following hump resection, dorsal irregularities are common. Patients with thin skin or those whose skin will become thin will develop the stigmata of rhinoplasty due to an open roof, irregular osseous cartilaginous junction, or twisted septum becoming visible. Although other techniques have been described to overcome this problem, they have significant drawbacks. We describe a technique for dorsal camouflage using a thin septal graft. The technique has the advantages of providing dependable camouflage with autogenous tissue without raising the dorsum and without the need for a separate donor site. It involves sanding a 35 x 7 mm shield-shaped dorsal graft to less than 3/4-mm thickness and placing this over the nasal dorsum to simulate the preoperative fused dorsal cap. We have performed this technique in 18 patients followed for 28 months. We utilize this graft in all patients with twisted noses and all thin-skinned individuals. It is not a technique of dorsal augmentation but rather of camouflage.
驼峰切除术后，鼻背不规则很常见。皮肤薄的患者或皮肤会变薄的患者，由于开放式鼻背、骨软骨结合部不规则或鼻中隔扭曲可见，会出现隆鼻手术的痕迹。尽管已经描述了其他技术来克服这个问题，但它们有明显的缺点。我们描述了一种使用薄鼻中隔移植物进行鼻背伪装的技术。该技术的优点是使用自体组织提供可靠的伪装，无需抬高鼻背，也无需额外的供区。它包括将一块35×7毫米的盾形鼻背移植物打磨至厚度小于3/4毫米，然后将其放置在鼻背上，以模拟术前融合的鼻背帽。我们对18例患者进行了该技术，并随访了28个月。我们在所有歪鼻患者和所有皮肤薄的个体中都使用了这种移植物。这不是一种鼻背增高技术，而是一种伪装技术。
