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A review of male patients undergoing rhinoplasty indicates a surprising diversity of anatomy and especially skin coverage. When compared with rhinoplasty in the female adolescent, the goal must be more of a "balanced rhinoplasty" rather than a reductive rhinoplasty, and the techniques required are more diverse. Careful screening of patients is essential to eliminate a subgroup of men with severe psychologic obsessions.  相似文献   

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眶距增宽症鼻成形术   总被引:5,自引:0,他引:5  
目的 总结59例眶距增宽症鼻成形术的临床经验,以期探讨眶距增宽症鼻畸形整复的方法。方法 鼻部整复术大多采用眶间鼻背部正中V形切口,部分采用矢状切口,面裂鼻尖缺失者,鼻背皮肤行V-Y成形术向下推进延长鼻梁,严重者全鼻下部向下推进,鼻背部骨膜下移修复,鼻腔衬里缺损,眶间鼻部鞭骨缩窄鼻宽度,鼻支架发育不全可植入自体骨填高鼻梁,鼻小柱短小者植入物修成L形,移植骨用螺钉或钢丝结扎固定。结果 本组病例鼻梁宽度平均缩窄2cm,鼻深增高0.6cm,鼻长度延长0.8cm,16例雨季期行鼻部瘢痕修整术,4例由于鼻梁低平二期再行植骨术,无植骨感染坏死、外露排出并发症,结论 眶距增宽症都有外鼻畸形,矫正眶距时可同期行鼻成形术,V-Y成形术可有效地延长鼻梁,鼻背部骨膜向下推移可修复鼻腔衬里缺损,采用肋骨填高鼻梁较为理想,部分病例需行二期手术。  相似文献   

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美丽挺拔的鼻子是许多人梦寐以求的。平凡或美丽的面容上,一个精致出众的鼻子绝对能加分不少。鼻梁低,鼻背呈不同程度的凹陷(鞍鼻)、低鼻、直鼻、轻度驼峰鼻、鼻尖低等,这些不完美的鼻子都适合隆鼻,阳刚或秀美的鼻子能使人的精神面貌发生很大改变,  相似文献   

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Rhinoplasty     
Rhinoplasty--surgery to reshape the nose--is a common procedure for both cosmetic and functional requests. In this article, the author provides an overview of rhinoplasty, with special emphasis on the surgical anatomy and preoperative analysis of appearance. A review of some of the surgical techniques at the disposal of the rhinoplasty surgeon is also provided and illustrated with patient examples.  相似文献   

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Nasal surgery in children should be done to restore nasal function and prevent the consequences of impeded function. However, care must be taken to preserve the continuity of the septum cartilage to prevent disturbance of nasal growth. In a number of patients, various techniques have been used successfully. Cosmetic surgery of the nose should be delayed until the nose is fully grown.  相似文献   

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The diversity of ancestry of the present-day Egyptian people has resulted in a mix of physical features, especially with regard to the nose. Both Caucasian and non-Caucasian characteristics are present, sometimes in the same individual. In performing rhinoplasty, particularly in the non-Caucasian nose, either of two procedures may be used, depending on the height and breadth of the bridge of the nose, both with successful consequences.  相似文献   

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Revision rhinoplasty is a complex aesthetic and reconstructive procedure in which both functional and cosmetic principles must be considered in the planning of an appropriate operation. Different techniques must be modified according to the specific defects. The modifications may vary from simple integration of a previous poorly performed surgery to complex grafting of homologous or heterologous material. The authors report their experience with 311 cases of revision rhinoplasty.  相似文献   

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The purpose of this study was to find out whether harvesting septal grafts and simultaneously doing a septoplasty improves nasal function in patients with clefts who are having a rhinoplasty to correct the external deformity. We studied 14 patients with a unilateral cleft (UCL(P)) and four with bilateral clefts (BCLP). Nasal airflow resistance was measured with active rhinomanometry preoperatively and postoperatively. In nine of the 14 with UCL(P) and in all those with BCLP nasal resistance was normal or near normal both preoperatively and postoperatively. In five with UCL(P) postoperative nasal resistance was highly increased on the cleft side and in three of these patients nasal resistance decreased significantly but still remained abnormal. Only one patient subjectively complained of poor nasal airflow but all sought improvement of their nasal appearance. Harvesting of the graft and simultaneous straightening of the nasal septum during a rhinoplasty in patients with clefts neither improved, nor had a deleterious effect on, nasal function.  相似文献   

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