Sliding Alar Cartilage (SAC) Flap A New Technique for Nasal Tip Surgery
Sliding Alar Cartilage (SAC) Flap A New Technique for Nasal Tip Surgery
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DOI：
10.1097/sap.0b013e31819538a8
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发表时间：
2009-11-01
影响因子：
1.5
通讯作者：
Atabay, Kenan
中科院分区：
文献类型：
--
作者：
Ozmen, Selahattin;Eryilmaz, Tolga;Atabay, Kenan
鼻整形术后先天性解剖畸形或下外侧软骨外侧脚后天性无力可引起鼻翼缘畸形。由于下外侧软骨是鼻翼和鼻尖支撑的结构基石，鼻翼软骨的畸形和软弱可能导致功能和美学问题。本文介绍鼻翼软骨滑动瓣作为鼻尖整形和支撑的新技术。在2007年1月至2008年5月期间，160名年龄在18至55岁之间的连续患者（平均年龄：27.51岁）被纳入研究。患者中男性60人，女性100人。所有患者均未接受包括下外侧软骨切除在内的鼻整形手术。滑动鼻翼软骨技术用于开放鼻成形术，以塑造所有患者的鼻尖。这项技术需要大约2到3分钟来缝合和破坏鼻翼软骨。随访时间为4 ~ 18个月。没有患者需要任何与滑翼软骨技术相关的翻修。3例因鼻尖皮肤较厚，1例因鼻小柱瘢痕。在这篇文章中，我们介绍了“滑鼻翼软骨瓣”作为一种创造自然鼻尖的新技术。该技术通过在尾翼软骨下方的下外侧软骨的头侧部分的自发滑动来塑造和支撑鼻尖，只需最少的操作，无需任何软骨切除或软骨移植。
Congenital anatomic deformities or acquired weakness of the lateral crura of the lower lateral cartilages after rhinoplasty could cause alar rim deformities. As lower lateral cartilages are the structural cornerstone of the ala and tip support, deformities and weakness of the alar cartilages might lead to both functional and esthetic problems. In this article, we are introducing sliding alar cartilage flap as a new technique to reshape and support nasal tip.One hundred sixty consecutive patients between 18 and 55 years of age (mean age: 27.51) were included in the Study between January 2007 and May 2008. Of the total number of patients 60 were male and 100 of them were female. None of the patients had rhinoplasty procedure including lower lateral cartilage excision previously.Sliding alar cartilage technique was used in an open rhinoplasty approach to shape the nasal tip in all patients. This technique necessitates about 2 to 3 minutes for suturing and undermining the alar cartilages. The follow-up period was between 4 and 18 months. In no patients any revision related to the sliding alar cartilage technique was required. Revision was applied in 3 patients due to thick nasal tip skin and in one patient due to unpleasant columellar scar.In this article, we are presenting the "sliding alar cartilage flap" as a new technique for creating natural looking nasal tip. This technique shapes and supports nasal tip by spontaneous sliding of the cephalic portion of the lower lateral cartilage beneath the caudal alar cartilage, with minimal manipulation, without any cartilage resection, or cartilage grafting.