Gilbert S E
University of Oklahoma College of Medicine, Tulsa, USA.
Otolaryngol Head Neck Surg. 1998 Oct;119(4):385-8. doi: 10.1016/S0194-5998(98)70084-1.
One of the most difficult maneuvers in rhinoplasty is achieving a straight dorsum in the patient with a crooked nose. Often this deformity is a result of trauma involving the bony and cartilaginous vaults, resulting in nasal bone fractures and avulsion of the lateral cartilages into the nasal airway. Reduction of nasal bone fractures is fairly straightforward, but the repair of nasal cartilage trauma is more problematic. The cartilage of the nasal vault possesses fibrous attachments, which when disturbed, are difficult to reestablish. Overlay grafts are known to be effective in filling these defects and creating the illusion of a straight nose. In this series, during an 8-year period, 89 grafts were placed over lateral nasal wall concavities during rhinoplasty. Results after a minimum of 1 year follow-up are reviewed, as well as technique, materials, complications, revision rate, and patient satisfaction.
鼻整形术中最具挑战性的操作之一是让鼻背弯曲的患者获得一个挺直的鼻背。这种畸形通常是由涉及鼻骨和软骨鼻背的外伤所致，会导致鼻骨骨折以及外侧软骨向鼻气道内撕脱。鼻骨骨折的复位相对简单，但鼻软骨损伤的修复则更具问题。鼻背的软骨有纤维附着结构，一旦受到干扰就很难重新建立。已知覆盖移植片对于填补这些缺损并营造出挺直鼻梁的假象很有效。在本系列研究中，在8年期间，鼻整形术中89片移植片被放置于鼻侧壁凹陷处。对至少1年随访后的结果、技术、材料、并发症、修复率及患者满意度进行了回顾。
