Aiach G, Madjidi A
Service de Chirurgie Plastique, CHU Henri Mondor, CRETEIL.
Ann Chir Plast Esthet. 1995 Dec;40(6):615-38.
Over the last two decades, the concepts of cosmetic rhinoplasty have advanced, essentially due to the influence of J. Sheen. The importance of the anatomy of osteocartilaginous structures, their dynamic role, and the repercussions of their modification on the external shape has led to a more conservative surgery. Innovations have essentially concerned nose tip surgery and cartilage grafts. The revival of external approach and its popularity constituted the second major development; this can be explained by the direct, visualisation of cartilaginous structures and by the desire or necessity to preserve or reconstruct these structures. The indications for cartilage grafts have become more frequent and graft techniques have been developed and refined. The difficulties encountered in the use of autologous grafts have favoured the development of many new implants. Parietal cranial grafts occupy an increasingly important place in the indications for nasal bone grafts.
在过去二十年中，隆鼻术的概念取得了进展，这主要归功于J. 希恩的影响。骨软骨结构解剖学的重要性、它们的动态作用以及对其进行改变对外部形态的影响，促使手术更加保守。创新主要涉及鼻尖手术和软骨移植。外部入路的复兴及其流行是第二个主要发展；这可以通过软骨结构的直接可视化以及保留或重建这些结构的愿望或必要性来解释。软骨移植的适应证变得更加常见，移植技术也得到了发展和完善。自体移植使用中遇到的困难推动了许多新型植入物的发展。顶骨颅骨移植在鼻骨移植适应证中占据着越来越重要的地位。
