Rohrich R J, Hollier L H
Division of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, USA.
Clin Plast Surg. 1996 Apr;23(2):281-96.
The aging nose presents several unique challenges to diagnosis and management. Although classically it presents as a drooping nasal tip secondary to loss of tip support with a relative dorsal hump, there are associated changes in the nasal skin, bony architecture, and airway that mandate consideration. Methods of correction emphasize restoration of tip support with nondestructive suture techniques. Use of osteotomies is minimized. Airway patency is improved or maintained by restoring the internal nasal valve, often with dorsal spreader grafts. Finally, special consideration is given to the patients' unique expectations and motivation. Rhinoplasty in the patient with advancing age is a rewarding operative procedure if one follows the guidelines delineated here to optimize the functional and aesthetic results.
衰老的鼻子在诊断和治疗方面存在一些独特的挑战。虽然传统上它表现为鼻尖下垂，继发于鼻尖支撑力丧失并伴有相对的鼻背驼峰，但鼻皮肤、骨质结构和气道也会出现相关变化，需要加以考虑。矫正方法强调采用无损缝合技术恢复鼻尖支撑力。尽量减少截骨术的使用。通常通过植入鼻背撑开移植物来恢复鼻内瓣膜，从而改善或维持气道通畅。最后，要特别考虑患者的独特期望和动机。如果遵循此处所描述的指导原则以优化功能和美学效果，那么对老年患者进行鼻整形术是一种有价值的手术。
