Advances in nasal tip surgery. The lateral crural steal.
Advances in nasal tip surgery. The lateral crural steal.
复制标题
鼻尖手术的进展。
DOI：
10.1001/archotol.1989.01860340060018
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发表时间：
1989
期刊：
影响因子：
--
通讯作者：
William K. Wright
中科院分区：
文献类型：
--
作者：
R. Kridel;R. Konior;K. Shumrick;William K. Wright
通过各种小叶软骨切开或切除技术，经典地尝试了增加鼻尖的突出、旋转和清晰度。由此产生的长期并发症，包括凸、鼻翼缺口、鼻尖挤压和鼻翼塌陷，偶尔也会因使用这些技术而导致。这些并发症大多继发于下外侧软骨断裂后结构支撑的丧失。这篇文章描述了“外侧脚盗”，一种增加鼻尖突出和鼻尖旋转同时保持小叶软骨复合体完整性的方法。该手术采用外部鼻整形术进行暴露。通过抬高小叶软骨丘的背侧和前庭皮肤，可以将外侧脚推进到内侧脚上，进一步突出鼻尖并使鼻尖重新向上定位。本文介绍了该技术及其原理和长期随访结果。
Increasing nasal tip projection, rotation, and definition have classically been attempted through a variety of lobular cartilage incising or excising techniques. Resultant long-term complications, including bossing, alar notching, pinched tips, and alar collapse, have occasionally resulted from the use of these techniques. The majority of these complications have arisen secondary to a loss of structural support following the interruption of the lower lateral cartilages. This article describes the "lateral crural steal," a method of increasing nasal tip projection and nasal tip rotation while preserving the integrity of the lobular cartilage complex. The procedure uses the external rhinoplasty approach for exposure. By elevating both the dorsal and the vestibular skin from the domes of the lobular cartilages, the lateral crura may be advanced onto the medial crura to further project the nasal tip and to reorient the tip upward. This technique along with its philosophy and long-term follow-up results are presented.