山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (1): 10-13.doi: 10.6040/j.issn.1673-3770.1.2017.046

• 鼻整形外科技术专家笔谈 • 上一篇    下一篇

鼻整形术:歪鼻整形

张维天, 茆松   

  1. 上海交通大学附属第六人民医院耳鼻咽喉头颈外科, 上海 200233
  • 收稿日期:2017-10-30 出版日期:2018-01-20 发布日期:2018-01-20
  • 通讯作者: 张维天. E-mail:drzhangwt@163.com

Rhinoplasty for a crooked nose

ZHANG Weitian, MAO Song   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Six Peoples Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Received:2017-10-30 Online:2018-01-20 Published:2018-01-20

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摘要： 歪鼻整形的内容涵盖了鼻的美学及功能。鼻上1/3偏曲的矫正多使用截骨术,鼻中间1/3偏曲通常使用鼻中隔矫正术修复。刻痕、切除、撑开移植物、自体组织撑开瓣等方法被用于矫正鼻背。鼻中隔尾侧偏曲通过刻痕、切除和在鼻前棘上重置鼻中隔来治疗。不同的截骨术用于不同类型的歪鼻畸形。治疗下鼻甲肥大和内鼻阈塌陷是纠正歪鼻气道功能受损的关键。鼻小柱支撑移植物、鼻尖缝合技术和鼻翼基底切除术用于修饰鼻尖和鼻翼。

关键词: 歪鼻, 鼻中隔偏曲, 鼻整形手术

Abstract: Rhinoplasty for a crooked nose should address both aesthetic appearance and nasal function. The upper one-third of the crooked nose is corrected by osteotomy, and the middle one-third is always addressed by septum correction. The dorsum may be straightened by a variety of methods, including scoring, excision, spreader grafts, and autospreader flaps. Caudal septal deviation is treated with scoring, excision, and repositioning of the septum on the anterior nasal spine. Different osteotomies are adopted in different types of crooked nose. Treatment of inferior turbinate hypertrophy and internal valve collapse is essential to correct the functionally compromised airway of a crooked nose. Columellar strut grafts, tip suturing techniques, and alar base excision are used to correct nasal tips and alae.

Key words: Crooked nose, Nasal septum deviation, Rhinoplasty

中图分类号: 

  • R765.9
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