The boxy nasal tip: Classification and management based on alar cartilage suturing techniques
The boxy nasal tip: Classification and management based on alar cartilage suturing techniques
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DOI：
10.1097/00006534-200106000-00034
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发表时间：
2001-06-01
影响因子：
3.6
通讯作者：
Adams, WP
中科院分区：
文献类型：
--
作者：
Rohrich, RJ;Adams, WP
四方形鼻尖的特征是鼻尖小叶基部宽而长方形。这在解剖学上表现为三种类型之一：I型，其特征是脚间散度角增加（大于30度）和正常穹窿（4毫米或更小），表现为尖端定义点；II型，其特点是软骨下外侧节段穹丘的角度增加，形成一个加宽的穹丘（大于4毫米）和正常的发散角（30度或更小）；III型，其特点是发散角增加（大于30度）和脚穹窿加宽（大于4毫米）。在这篇文章中，可用的技术，矫正四方尖和算法的方法来管理这一问题是使用开放的方法来鼻整形示范。采用个体化算法，结合术中鼻尖分析和三种鼻尖缝合整形技术，可以获得一致的美学效果。
The boxy nasal tip is characterized by a broad, rectangular appearance of the tip lobule on basal view. This manifests anatomically as one of three types: type I, which features an increased intercrural angle of divergence (greater than 30 degrees) and normal domal are (4 mm or less) manifesting as the tip-defining points; type II, which features an increased angulation of the domes of the lower lateral segments of cartilage, creating a widened domal are (greater than 4 mm) and normal angle of divergence (30 degrees or less); and type III, which features a combination of increased angle of divergence (greater than 30 degrees) and widened crural domal are (4 mm or greater). In this article, the available techniques for correction of the boxy tip are reviewed and an algorithmic approach for the management of this problem is demonstrated using the open approach to rhinoplasty. Using an individualized algorithmic approach with intraoperative nasal tip analysis and three nasal tip suture reshaping techniques, consistent aesthetic results can be obtained in the correction of the boxy nasal tip.