Studies on the support of the nasal tip.

J. Janeke, W. K. Wright
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引用次数: 121

Abstract

Anatomical studies on the nasal tip indicate four major areas of tip support: (1) the fibrous connection between upper and lower lateral cartilages; (2) the sesamoid complex extending the support of the lateral crus to the pyriform opening; (3) the ligamentous sling spanning between the paired domes of the lower lateral cartilages; and (4) the attachment of the feet of the medial crura to the posterior caudal septum. Routine rhinoplasty procedures compromise tip support predisposing to postoperative tip sagging (Pollybeak); however, tip rhinoplasty procedures can be modified to maintain tip support and projection by: high transfixion through the caudal cartilaginous septum confirming septal shortening to the anterior caudal septum, embricating the membranous septum over the anterior caudal septum, utilizing a cartilaginous strut, between and below the medial crura, or reestablishing the medial cruraposterior caudal septum anchorage.
鼻尖支撑力的研究。
对鼻尖的解剖学研究表明,鼻尖有四个主要的支撑区域:(1)上下外侧软骨之间的纤维连接;(2)将外侧脚的支撑延伸至梨状开口的籽状复合体;(3)下外侧软骨成对穹窿之间的韧带悬索;(4)内侧脚与后尾隔的连接。常规鼻整形手术损害鼻尖支撑,易导致术后鼻尖下垂(Pollybeak);然而,鼻尖整形术可以通过以下方法进行修改,以保持鼻尖的支撑和突出:通过尾侧软骨间隔高度穿刺,确认鼻中隔缩短至尾侧前隔,在尾侧前隔上包住隔膜,在内侧脚之间和下方利用软骨支撑,或重建内侧脚-后尾隔锚固。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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