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Alar cartilage surgery

机译:鼻软骨手术

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Abstract Introduction: Alar cartilages are primary nasal tip supporting structure. The aim of alar cartilage surgery is nasal tip alterations in size, rotation and projection. Indications for approaches to the alar cartilage depend on the specific anatomy of the nose and the proposed changes. The aim of this work is to present our experience with alar cartilage surgery. Methods: It is retrospective descriptive study when we used rhinoplasty cases (61) for 3 year (2006–08). From these, 41% cases (25) were with nasal tip abnormalities. 11 cases were from nasal tip bulosis. In our cases we were applied non-delivery (93% cases) and external (7% cases) approaches. Results: We were applied transcartilaginous incisions (34%) and intercartilaginous & marginal incisions (7%) from all rhinoplasty cases when needed alar cartilage surgery.Alar cartilage surgical procedures in our cases were; lateral crura surgery (complete strip technique 34%, weakening procedure 5%, dome division 2%, inter-domal sutures 31%, trans-domal sutures 7%.Conclusions: Surgeons experience is most important role in alar cartilage surgery. Nowadays most rhinosurgeons in the word usually performed open approach for cartilage surgery. This approach we were applied in 7% of cases. In majority of cases is possible alar cartilage surgery with intranasal approaches. We recommend surgical approaches to the nasal tip advocated by Tardy. Keywords: alar cartilage, nasal tip, rhinoplasty, incisions, surgical approaches.
机译:摘要简介:鼻翼软骨是主要的鼻尖支撑结构。鼻软骨手术的目的是改变大小,旋转和突出的鼻尖。鼻软骨方法的适应症取决于鼻子的具体解剖结构和建议的改变。这项工作的目的是介绍我们在软骨软骨手术方面的经验。方法:这是一项回顾性描述性研究,当我们使用隆鼻手术病例(61)3年(2006-08)。从这些病例中,有41%(25)的患者具有鼻尖异常。鼻尖膨隆11例。在我们的案例中,我们采用了不交付(93%案例)和外部(7%案例)方法。结果:在所有需要隆鼻软骨手术的隆鼻病例中,我们均采用了经软骨的切口(34%)和软骨间及边缘的切口(7%)。外侧交叉手术(完全剥离术34%,弱化手术5%,穹顶分割2%,内部缝线31%,经腹部缝线7%。一词通常在软骨手术中采用开放式入路,这种方式在7%的病例中得到了应用,多数情况下鼻翼入路可以进行鼻翼软骨手术,我们推荐Tardy提倡的鼻尖手术入路。软骨,鼻尖,隆鼻,切口,手术方法。

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