Aesthetic rhinoplasty with maximum preservation of alar cartilages: Experience with 52 consecutive cases
Aesthetic rhinoplasty with maximum preservation of alar cartilages: Experience with 52 consecutive cases
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DOI：
10.1097/00006534-199902000-00048
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发表时间：
1999-02-01
影响因子：
3.6
通讯作者：
Regalado-Briz, A
中科院分区：
文献类型：
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作者：
Regalado-Briz, A
在历史上，鼻整形术主要被概念化为鼻骨框架的切除和复位手术；然而，越来越多的证据表明，保守地保留尽可能多的骨骼使最终结果更可预测和更具生理学意义。在此基础上，采用改良的Tebbetts技术，对52例初次开放鼻整形术患者进行了前瞻性研究。在所有病例中，外侧小腿的头侧部分都被保留下来，从美学的角度来看，手术的设计基本上是为了创造更好的解剖结构。结果通过美学和头影测量进行评估，患者表现出改善；最大限度地保留了天然的小腿。这份报告建议，需要进行更多的前瞻性研究，以证明这些手术变异对普通患者的疗效。
Historically, rhinoplasty has been conceptualized mainly as an excisional and reductional operation of the nasal framework; however, there is growing evidence showing that conservatism in terms of preserving as much skeleton as possible makes the final results more predictable and more physiologic. On the basis of this point of view and using modifications of Tebbetts' technique, a prospective study of 52 patients presenting for primary open rhinoplasty was made. In all the cases, the cephalic portion of the lateral crus was preserved, and the procedure was designed basically to create a better anatomy from an aesthetic point of view. The results were evaluated aesthetically and by cephalometry, and patients showed improvement; native crura preservation was maximized. This report suggests more prospective studies need to be conducted to demonstrate the efficacy of these surgical variations an the average patient.