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首页> 外文期刊>JAMA facial plastic surgery >Lengthening the short nose in asians key maneuvers and surgical results
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Lengthening the short nose in asians key maneuvers and surgical results

机译：延长亚洲人的短鼻子的关键演习和手术结果

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摘要

IMPORTANCE Using objective anthropometric measurement, this study reports the outcome of surgical correction of short-nose deformities in Asian patients. OBJECTIVE To present our experience in lengthening the short nose in Asians and report the surgical results. DESIGN, SETTING, AND PATIENTS In this retrospective review,we study the cases of 36 patients who underwent surgical correction of short-nose deformity. The effect of nasal lengthening was analyzed using anthropometric measurement, including nasion to tip-defining point (N-TDP), nasal tip projection (NTP), nasofrontal angle (NFA), and columellar-facial angle (CFA). EXPOSURES Surgical correction of short-nose deformity. MAIN OUTCOME MEASURES The preoperative and postoperative N-TDP, NTP, NFA, and CFA and patient satisfaction. RESULTS The mean postoperative follow-up duration was 29.8 months. The cause of the short nose was congenital in 18 cases and secondary to previous rhinoplasty in 18 cases. Septal tissue, conchal cartilage, costal cartilage, and conchal composite tissue were used as graft materials. The key procedures for lengthening included septal extension graft reinforced with extended spreader, dorsal onlay, and tip grafts. The N-TDP increased by 11.2%, and CFA decreased from 122.6 to 111.1. The NFA changed from 148.9 to 148.5. The NTP ratio, measured using the Goode method, decreased from 0.53 to 0.50. The increase of N-TDP was greater in patients undergoing the costal cartilage grafting procedure than in those who received septal or conchal cartilage. All patients were satisfied with the aesthetic results, and there were no serious complications. CONCLUSIONS AND RELEVANCE In Asians, the key maneuvers for lengthening were septal extension graft reinforced with extended spreader and dorsal onlay graft. Rib cartilage provided superior lengthening effect compared with other cartilage.
机译：本研究报告了亚洲患者短鼻畸形的外科矫正的结果。目的展示我们在延长亚洲人短鼻子的经验，并报告手术结果。设计，环境和患者在这次回顾性审查中，我们研究了36例接受短鼻子畸形的手术矫正的患者。使用人体测量测量分析鼻延长的影响，包括鼻至限定点（N-TDP），鼻尖突起（NTP），Nasofrontal角（NFA）和孔簇 - 面角（CFA）。暴露短鼻畸形的手术校正。主要观察结果测量术前和术后N-TDP，NTP，NFA和CFA和患者满意度。结果平均术后随访时间为29.8个月。短鼻子的原因是18例中的先天性，在18例之前对先前的鼻落成形术进行了继发性。使用隔膜组织，Conchal软骨，肋骨软骨和果复合组织作为接枝材料。延长延长的关键程序包括延长吊具，背部镶嵌和尖端移植物的隔膜延伸移植物。 N-TDP增加11.2％，CFA从122.6降至111.1。 NFA从148.9变为148.5。使用Goode方法测量的NTP比率从0.53降至0.50。在接受昂贵的软骨移植程序的患者中，N-TDP的增加比在接受隔膜或Charchal软骨的人中更大。所有患者都对审美结果感到满意，并且没有严重的并发症。结论和相关性在亚洲人中，延长延长吊具和背衬移植的延长的关键演习是增强的隔膜延伸接枝。与其他软骨相比，肋骨软骨提供了卓越的纵横效果。

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  • 来源
    《JAMA facial plastic surgery》 |2013年第6期|共9页
  • 作者

    ParkJ.H.; MangobaD.C.S.; MunS.J.; KimD.W.; JinH.-R.;

  • 作者单位

    Department of Otorhinolaryngology-Head and Neck Surgery Seoul National University College of;

    Department of Otorhinolaryngology-Head and Neck Surgery Seoul National University College of;

    Department of Otorhinolaryngology-Head and Neck Surgery Seoul National University College of;

    Department of Otorhinolaryngology-Head and Neck Surgery Seoul National University College of;

    Department of Otorhinolaryngology-Head and Neck Surgery Seoul National University College of;

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  • 正文语种 eng
  • 中图分类 整形外科学（修复外科学）;
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