Ponti L, Ponti G, Serafini P
Post-Graduate School of Plastic and Reconstructive Surgery, Tor Vergata University of Rome, Italy.
Plast Reconstr Surg. 1993 Sep;92(3):431-42. doi: 10.1097/00006534-199309000-00007.
This paper illustrates the objective possible applications of the osteocartilaginous flap technique in solving the functional and aesthetic problems associated with saddle nose deformities, the pathogenesis of which essentially relates to: (1) congenital saddle noses; (2) post-traumatic saddle noses; and (3) saddle noses resulting from previous surgery on the septum. This technique is suggested as an alternative to a combination of other methods (such as septoplasty, bone, or cartilage grafts) to restore the inhalatory function of the internal nasal valve and the integrity of the nasal support structures using locally available tissues. The authors prefer to use this technique in the treatment of serious congenital or acquired saddle nose deformities and to assign composite grafts a supplementary function only. The different stages of this surgical procedure are analyzed and the results are assessed during short- and medium-term follow-up.
本文阐述了骨软骨瓣技术在解决与鞍鼻畸形相关的功能和美学问题方面的客观可能应用，鞍鼻畸形的发病机制主要涉及：（1）先天性鞍鼻；（2）创伤后鞍鼻；（3）先前鼻中隔手术后导致的鞍鼻。该技术被建议作为其他方法（如鼻中隔成形术、骨或软骨移植）组合的替代方法，以利用局部可用组织恢复鼻内瓣膜的吸气功能和鼻支撑结构的完整性。作者更倾向于使用该技术治疗严重的先天性或后天性鞍鼻畸形，仅将复合移植物赋予辅助功能。分析了该手术过程的不同阶段，并在短期和中期随访期间评估结果。
