山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (1): 37-41.doi: 10.6040/j.issn.1673-3770.1.2017.058

• 鼻整形外科技术综述 • 上一篇    下一篇

功能性鼻整形解剖学基础及进展

周鹏1,苏开明1,2   

  1. 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;
    2.上海交通大学附属第六人民医院南院耳鼻咽喉科, 上海 201400
  • 收稿日期:2017-12-01 出版日期:2018-01-20 发布日期:2018-01-20
  • 通讯作者: 苏开明. E-mail:021china@sina.com

The basic anatomical considerations for functional rhinoplasty

ZHOU Peng1, SU Kaiming1,2   

  1. Department of Otorhinolaryngology, South Hospital of Affiliated Six Peoples Hospital, Shanghai Jiao Tong University, Shanghai 201400, China
  • Received:2017-12-01 Online:2018-01-20 Published:2018-01-20

摘要: 鼻整形按照手术目的可以分为美容性鼻整形和功能性鼻整形。功能性鼻整形是通过调整鼻部框架结构来改善鼻子的通气功能,手术过程中,外观也会发生改变。常见的功能性鼻整形病种有歪鼻、尾段鼻中隔偏曲、陈旧性鼻骨骨折、鼻软骨畸形、内外鼻瓣的塌陷和狭窄等。现将对功能性鼻整形的解剖学基础与进展作一综述,以提高对功能性鼻整形的认识。

关键词: 功能性, 解剖学, 鼻整形手术, 临床应用

Abstract: There are two major types of rhinoplasty: cosmetic and functional. Functional rhinoplasty alters the anatomy of the nose to optimize the airways. The appearance of the nose may improve as a result of the surgery. The common indications for this procedure vary, such as crooked nose, caudal septal deviation, old nasal fracture, deformities of nasal cartilages, and narrowing and collapse of internal or external nasal valve. This paper presents the anatomical considerations for functional rhinoplasty.

Key words: Anatomy, Rhinoplasty, function, Clinical application

中图分类号: 

  • 765.9
[1] Lee J, Constantinides M. Trends in functional rhinoplasty 2008[J]. Curr Opin Otolaryngol Head Neck Surg, 2009, 17(4):295-301.
[2] Stewart M, Witsell D, Smith T, et al. Development and validation of the Nasal Obstruction Symptom Evaluation(NOSE)scale[J]. Otolaryngol Head Neck Surg, 2004, 130(2):157-163.
[3] Wu WT. The oriental nose: an anatomical basis for surgery[J]. Ann Acad Med, Singapore, 1992, 21(2):176-189.
[4] Cho G, Kim J, Yeo N, et al. Nasal skin thickness measured using computed tomography and its effect on tip surgery outcomes[J]. Otolaryngol Head Neck Surg, 2011, 144(4):522-527.
[5] Teller DC. Anatomy of a rhinoplasty:emphasis on the middle third of the nose[J]. Facial plast surg, 1997, 13(4):241-252.
[6] Ozkul MH, Kocagoz DG, Balikci HH, et al. A practical method for assessing nasal skin quality[J]. Eur Arch Otorhinolaryngol, 2013, 270(6):1839-1842.
[7] Azizzadeh B, Reilly M. Dorsal hump reduction and osteotomies[J]. Clin Plast Surg, 2016, 43(1):47-58.
[8] Sowder JC, Thomas AJ, Ward PD. Essential anatomy and evaluation for functional rhinoplasty[J]. Facial Plast Surg Clin North Am, 2017, 25(2):141-160.
[9] Aksoy F, Veyseller B, Yildirim Y, et al. Role of nasal muscles in nasal valve collapse[J]. Otolaryngol Head Neck Surg, 2010, 142(3):365-369.
[10] Nakajima H, Imanishi N, Aiso S. Facial artery in the upper lip and nose: anatomy and a clinical application[J]. Plast Reconstr Surg, 2002, 109(3):855-861.
[11] Toriumi DM, Mueller RA, Grosch T, et al. Vascular anatomy of the nose and the external rhinoplasty approach[J]. Arch Otolaryngol Head Neck Surg, 1996, 122(1):24-34.
[12] Oneal R, Beil R. Surgical anatomy of the nose[J]. Clin Plast Surg, 2010, 37(2):191-211.
[13] Rohrich RJ, Gunter JP, Friedman RM. Nasal tip blood supply: an anatomic study validating the safety of the transcolumellar incision in rhinoplasty[J]. Plast Reconstr Surg, 1995, 95(5):795-799, 800-801.
[14] Webster RC, Davidson TM, Smith RC. Curved lateral osteotomy for airway protection in rhinoplasty[J]. Arch Otolaryngol, 1977, 103(8):454-458.
[15] Goldfarb M, Gallups JM, Gerwin JM. Perforating osteotomies in rhinoplasty[J]. Arch Otolaryngol Head Neck Surg, 1993, 119(6):624-627.
[16] VanKoevering KK, Rosko AJ, Moyer JS. Osteotomies Demystified[J]. Facial Plast Surg Clin North Am, 2017, 25(2):201-210.
[17] Schlosser RJ, Park SS. Surgery for the dysfunctional nasal valve. Cadaveric analysis and clinical outcomes[J]. Arch Facial Plast Surg, 1999, 1(2):105-110.
[18] Sheen JH. Spreader graft:a method of reconstructing the roof of the middle nasal vault following rhinoplasty[J]. Plas Reconstr Surg, 1984, 73(2):230-237.
[19] Goudakos J, Fishman J, Patel K. A systematic review of the surgical techniques for the treatment of internal nasal valve collapse: where do we stand?[J]. Clin Otolaryngol, 2017, 42(1):60-70.
[20] Teichgraeber JF, Gruber RP, Tanna N. Surgical management of nasal airway obstruction[J]. Clin Plast Surg, 2016, 43(1):41-46.
[21] Gunter J, Rohrich R. Management of the deviated nose. The importance of septal reconstruction[J]. Clin Plast Surg, 1988, 15(1):43-55.
[22] Gunter J, Rohrich R. Augmentation rhinoplasty: dorsal onlay grafting using shaped autogenous septal cartilage[J]. Plast Reconstr Surg, 1990, 86(1):39-45.
[23] Tardy ME Jr, Denneny J, Fritsch MH. The versatile cartilage autograft in reconstruction of the nose and face[J]. Laryngoscope, 1985, 95(5):523-533.
[24] Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts[J]. Plast Reconstr Surg, 2010, 125(2):40-49.
[25] Hwang S, Lim O, Hwang M, et al. The clinical analysis of the nasal septal cartilage by measurement using computed tomography[J]. Arch Craniofac Surg, 2016, 17(3):140-145.
[26] Carr S, Twigg V, Mirza S. Radiological study of the anatomy of the keystone area of the nasal septum using computed tomography to aid septal surgery[J]. Clin Otolaryngol, 2016, 41(4):317-320.
[27] Rohrich RJ, Muzaffar AR, Janis JE. Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty[J]. Plast Reconstr Surg, 2004, 114(5):1298-1308.
[28] Sharafi M, Jalessi M, Adamson PA. Newlydesigned upper lateral cartilage flap for preventing depression of the keystone area in large-nose septorhinoplasty[J]. JAMA Facial Plast Surg, 2015, 17(6):399-404.
[29] Daniel R. The nasal tip: anatomy and aesthetics[J]. Plast Reconstr Surg, 1992, 89(2):216-224.
[30] Ketcham A, Dobratz E. Normal and variant anatomy of the nasal tip[J]. Facial Plast Surg, 2012, 28(2):137-144.
[31] Anderson J. A reasoned approach to nasal base surgery[J]. Arch Otolaryngol, 1984, 110(6):349-358.
[32] Christophel J, Park S. Structural support and dynamics at the tip[J]. Facial Plast Surg, 2012, 28(2):145-151.
[1] 宋晓宇, 张宇, 李成林, 宋西成. 加速康复外科理念在慢性鼻-鼻窦炎伴鼻息肉手术治疗中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 9-12.
[2] 沈勤峰,沈小燕,朱荣强,蒋斐斐,郎军添. 鼻内镜下中鼻甲功能性部分切除治疗慢性鼻窦炎76例分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 82-85.
[3] 戚敏, 李红, 王倩, 涂翠芳, 杨钦泰, 徐惠清. 加速康复外科理念在功能性内镜鼻窦手术围手术期护理的初步应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 13-18.
[4] 华骋,陈振雨. 我国汉族女性鼻整形手术的研究进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 42-44.
[5] 涂智文. 肋软骨在鼻整形手术中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 3-6.
[6] 张维天, 茆松. 鼻整形术:歪鼻整形[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 10-13.
[7] 江英,陈玥竹,饶郁芳,唐玥玓. 鼻中隔-鼻整形术矫正严重外伤性鼻畸形伴鼻中隔偏曲一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 45-47.
[8] 杜志宏. 电子鼻咽镜下口鼻联合径路在鼻咽部活检中的应用[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 117-118.
[9] 谢畅,颜滨,李建兴,卢永田. 内镜经口入路寰枢椎解剖及临床可行性研究[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 47-51.
[10] 李清明,吴思恩,黄素红,曹火太,黄穗华,姚婷婷,刘其洪. 第三腮裂瘘管诊治6例并文献复习[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 61-64.
[11] 吕正华. 喉返神经减压术[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 17-19.
[12] 庞宇峰,龚静蓉,邹阳,黄娟. 改良自制鼻咽通气管在FESS术后填塞中的应用[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 47-50.
[13] 刘勃1,张振华2,高爱民3. 探讨鼻腔、鼻窦解剖异常与慢性鼻窦炎的相关性[J]. 山东大学耳鼻喉眼学报, 2012, 26(6): 41-43.
[14] 李晨,黄建民,王德生. 显微镜下功能性腮腺切除术治疗腮腺良性肿瘤42例[J]. 山东大学耳鼻喉眼学报, 2011, 25(4): 13-.
[15] 马俊伟, 刘婷婷,张念凯. 鼻内镜下鼻中隔正中入路治疗额窦病变的应用解剖[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 54-56.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!