A new approach surgery of the lower cartilaginous vault.
A new approach surgery of the lower cartilaginous vault.
复制标题
下软骨穹窿的新入路手术。
DOI：
10.1001/archotol.1959.00730040046007
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发表时间：
1959
期刊：
影响因子：
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通讯作者：
E. M. Lipsett
中科院分区：
文献类型：
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作者：
E. M. Lipsett
我所介绍的新手术概念和技术简单、快速，并且对所有类型的下软骨穹隆畸形非常满意。根据我的经验，它为最好的解剖学、生理学和和谐的配置提供了最大的自由度。在描述这项技术之前，应该记住，外科手术的顺序对于正确矫正所涉及的畸形至关重要。假设软组织的局部浸润和提升已经完成，向下贯穿到鼻棘，然后将上外侧软骨从其与鼻中隔的附着物中释放出来，从而避免在背侧进行手术时对它们造成创伤。然后在任何背部手术之前，通过建立近似的鼻小柱-唇角来缩短鼻子。在此过程之后尖端的最终释放允许其
The new surgical concept and technique which I am presenting, is simple, rapid, and highly satisfactory in all types of deformities of the lower cartilaginous vault. In my experience it yields the greatest latitude for the best anatomic, physiologic, and harmonious configuration. Before describing this technique, it should be borne in mind that the sequence of the surgical procedures is of utmost importance for the proper correction of the deformities involved. Assuming that local infiltration and elevation of the soft structures have been completed with transfixion down to the nasal spine, the upper lateral cartilages are then freed from their attachments to the septum, thus avoiding trauma to them when surgery is performed on the dorsum. Shortening of the nose with the establishment of an approximate columella-labial angle is then completed prior to any surgery on the dorsum. The resulting release of the tip following this procedure allows it to