The importance of the mesial crura in nasal-tip reconstruction.
The importance of the mesial crura in nasal-tip reconstruction.
复制标题
内侧脚在鼻尖重建中的重要性。
DOI：
10.1001/archotol.1957.03830200039005
复制
发表时间：
1957
期刊：
影响因子：
--
通讯作者：
I. B. Goldman
中科院分区：
文献类型：
--
作者：
I. B. Goldman
在现代鼻整形术的逐步发展中，鼻尖矫正手术的进展非常重要，主要基于外侧脚的建模。近中脚在鼻尖修复中的重要性尚未被强调。本文讨论了这些结构的解剖和手术，以说明如何在没有植入物的帮助下不仅获得而且保持尖端在这种新的头位。一种不希望的“外科手术”外观是过度尖的鼻尖。这可能是由于（1）近中脚的不完美修剪，（2）重建方法的类型，重新组装已经存在的元素，并通过柱板条或支柱将它们固定在适当的位置，或（3）为了突出的目的，在小叶顶端插入软骨按钮。移植物的行为是不可预测的;一些软骨或骨支柱或按钮
In the progressive development of modern rhinoplasty, advances in corrective surgery of the nasal tip have been highly important, based chiefly on modeling of the lateral crura. The significance of the mesial crura in repair of the nasal tip has not been emphasized. This paper discusses the anatomy and surgery of these structures to show how not only to attain but to maintain the tip in this new cephalic position without the aid of implants. An undesirable "surgical" appearance is the unduly pointed nasal tip. This may be formed because of (1) imperfect trimming of the mesial crura, (2) type of reconstructive method which reassembles the elements already present and holds them in place by a columellar batten or strut, or (3) insertion of a cartilaginous button in the apex of the lobule for purposes of projection. The behavior of grafts is unpredictable; some cartilaginous or bony struts or buttons