Holmström H, Luzi F
Department of Plastic Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
Plast Reconstr Surg. 1996 Feb;97(2):321-6. doi: 10.1097/00006534-199602000-00007.
Traditional open rhinoplasty produces a scar on the columella. To avoid such a scar and still obtain a wide exposure of the nasal framework, the bilateral paramarginal incisions close to the columella were extended into the nasal floors, and a wide undermining of the base of the columella was performed. The nasal tip with the crura together could then be presented through one of the nostrils. Conditions similar to those of the traditional open rhinoplasty wer thus achieved. The technique has been used in selected patients for 8 years with satisfactory results. In conclusion, the open rhinoplasty without transcolumellar incision can replace the traditional transcolumellar open rhinoplasty technique.
传统开放式鼻整形术会在鼻小柱上留下疤痕。为避免此类疤痕并仍能广泛暴露鼻支架结构，靠近鼻小柱的双侧缘旁切口被延伸至鼻底，并对鼻小柱基部进行广泛潜行分离。然后可通过其中一个鼻孔将带有鼻翼软骨的鼻尖显露出来。这样就实现了与传统开放式鼻整形术相似的效果。该技术已在部分患者中应用8年，效果满意。总之，无鼻小柱切口的开放式鼻整形术可替代传统的经鼻小柱开放式鼻整形术技术。
