Kabaker S S
Arch Otolaryngol. 1977 Aug;103(8):461-7. doi: 10.1001/archotol.1977.00780250055005.
The problem of augmenting the nasal dorsum and columella in the exaggerated Negroid or Oriental nose is presented. Augmentation of the nasal dorsum is routinely performed using polyamide mesh. The lengthening and lowering of the short and sometimes retracted columella and narrowing of the alar bases is performed by making a columellar splitting incision and extending it along the alar sills. A septal cartilage graft is sewn into the new columellar space, and the alar sills are advanced into the columella, thereby lengthening the columella and changing the axis of the nares. The columellar advancement is done after the dorsal implantation is performed, and the projection of the tip is advanced to whatever amount necessary to aesthetically match the dorsal profile line.
本文介绍了针对夸张的黑人或东方鼻型进行鼻背和鼻小柱增大的问题。鼻背增大通常使用聚酰胺网进行。通过做一个鼻小柱劈开切口并沿鼻翼基部延伸，来延长并降低短且有时回缩的鼻小柱，同时缩小鼻翼基部。将鼻中隔软骨移植片缝入新的鼻小柱间隙，将鼻翼基部向鼻小柱推进，从而延长鼻小柱并改变鼻孔轴线。鼻小柱推进在鼻背植入术后进行，鼻尖的突出度推进到与鼻背轮廓线美学匹配所需的任何程度。
