Fanous N
Department of Otolaryngology and Head and Neck Surgery, McGill University, Montreal, Quebec, Canada.
Plast Reconstr Surg. 1997 Jul;100(1):115-23. doi: 10.1097/00006534-199707000-00021.
Most crooked noses, at the end of a regular rhinoplasty, seem well positioned in the midline. However, several months later, the nasal pyramid may begin its lateral migration and the original deviation, to the chagrin of the surgeon, is partially reproduced. An approach to the externally deviated bony pyramid is reemphasized, involving the performance of one or more osteotomies on only one side of the nose.During the course of a regular rhinoplasty, the bilateral lateral osteotomies displace the lateral nasal walls medially. However, if only a unilateral osteotomy is performed, the nasal dorsum will seem to deviate toward the opposite side. This paper discusses in further detail how to use unilateral osteotomies in the rhinoplasty of an externally deviated nose. Although the unilateral osteotomy technique is not a new concept, it did not receive so far the interest it deserves among surgeons. The unilateral osteotomy technique is an adjunctive solution to a complex problem.
大多数歪鼻在常规鼻整形术后，在中线处似乎位置良好。然而，几个月后，鼻锥体可能开始向外侧移位，令外科医生懊恼的是，原来的偏斜会部分重现。本文再次强调一种针对向外偏斜的骨性鼻锥体的方法，即仅在鼻的一侧进行一次或多次截骨术。在常规鼻整形过程中，双侧外侧截骨术会使鼻侧壁向内移位。然而，如果只进行单侧截骨术，鼻背似乎会向对侧偏斜。本文将更详细地讨论如何在向外偏斜鼻的鼻整形术中使用单侧截骨术。尽管单侧截骨术技术并非新概念，但到目前为止，它在外科医生中并未得到应有的关注。单侧截骨术技术是解决复杂问题的一种辅助方法。
