Amar R E
Aesthetic Plast Surg. 1998 Jan-Feb;22(1):29-37. doi: 10.1007/s002669900162.
It is observed that in many cases of rhinoplasty, the final aesthetic result on the face of patients was not satisfactory. The reason is the persistence of "rings" making a shadow beside the root of the nose. These "rings" seem to be palpebral but are actually made by the frontal process of the maxilla. Osteotomy in rhinoplasties classically involve the nasal bones. However, the osteotomy in our cases is made on the frontal process of the maxilla. This surgical refinement is detailed with regard to a minute palpebral incision, precisely placing the lateral osteotomy on each frontal process of the maxilla, in-fracture and rasping equally. While the osteotomy procedure is well documented in rhinoplasties, the improvement of the patients' final appearance at the root of the nose after rhinoplasty is less clearly established. This report will detail an innovation based on the author's 15-year surgical experience with primary and secondary rhinoplasty. The improved result is remarkable on the final appearance of the nose. Close-up photography demonstrates the anatomy as well as the technique.
据观察，在许多隆鼻手术案例中，患者面部的最终美学效果并不令人满意。原因是在鼻根旁会持续出现形成阴影的“环状物”。这些“环状物”看似是眼睑造成的，但实际上是由上颌骨额突形成的。传统隆鼻手术中的截骨术涉及鼻骨。然而，我们案例中的截骨术是在上颌骨额突上进行的。这种手术改进涉及一个微小的眼睑切口，精确地在上颌骨每个额突上进行外侧截骨，进行骨折复位和锉磨。虽然截骨术在隆鼻手术中有详细记录，但隆鼻术后患者鼻根处最终外观的改善情况却不太明确。本报告将详细介绍基于作者15年一期和二期隆鼻手术经验的一项创新。在鼻子的最终外观上，改善效果显著。特写摄影展示了解剖结构和手术技巧。
