Park S S, Cook T A
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Medical Center, Charlottesville 22908, USA.
Facial Plast Surg. 1997 Oct;13(4):309-16. doi: 10.1055/s-0028-1082430.
Reconstructive rhinoplasty for larger nasal defects requires a three-dimensional perspective using many of the aesthetic and functional techniques commonly employed in rhinoplasty. There are numerous ways of addressing a deficiency of the internal lining and each technique is detailed. Structural grafting is imperative in order to resist the contracture and collapse of the reconstructive nose. These grafts are also used to enhance contour and definition. Resurfacing of large cutaneous defects is frequently achieved through the midline forehead flap. There are many subtle maneuvers which can significantly impact the final aesthetic outcome and these are discussed below. This article highlights the three-layered approach to subtotal and total reconstructive rhinoplasty.
修复较大鼻缺损的鼻整形术需要采用鼻整形术中常用的许多美学和功能技术的三维视角。解决鼻内衬不足的方法有很多种，每种技术都有详细说明。为了抵抗重建鼻的挛缩和塌陷，结构移植是必不可少的。这些移植也用于增强轮廓和清晰度。大面积皮肤缺损的表面修复通常通过中线额部皮瓣来实现。有许多细微的操作会显著影响最终的美学效果，下面将对此进行讨论。本文重点介绍了部分和全鼻重建鼻整形术的三层方法。
