鼻定位器:一种创新型仪器,用于确定保留或结构性鼻整形术中截骨的精确点。

IF 1.1 4区 医学 Q3 SURGERY Facial Plastic Surgery Pub Date : 2024-06-18 DOI:10.1055/a-2330-3837
George Mireas
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引用次数: 0

摘要

大多数保背(DP)技术最常见的组成部分之一是背隔下切除术。无论使用何种器械(压电刀、Rongeur 刀或长剪刀)进行该手术,最重要的是能够确定截骨/骨切除(或软骨切割)的确切背下点(SDoP)。首先,要避免不必要地扩大截骨范围,以免增加骨折向楔形板扩散的风险,进而导致 CSF 渗漏;其次,要确保背下切口足够高,并能与计划中的桡骨截骨合并/统一。此外,无论是保留性隆鼻还是结构性隆鼻,通常都需要进行横向截骨。尽管许多外科医生对截骨线都很满意,但有时很难确定截骨线的位置,尤其是在进行 DP 鼻整形术时,横向截骨线必须与计划的桡骨截骨线方向一致。我们开发了鼻部定位器,用于精确定位各种鼻部兴趣点,如背下切口(软骨或骨性)、横向或内侧截骨线。它的末端有两个尖端。下端置于我们希望确定的点(如 SDoP 或横向截骨线)上,而上端则固定在距离该点一定距离的地方(在所有三个维度上),以显示其确切位置。我们对文献和市场进行了深入研究,没有发现任何与 NL 在外形和功能上相似的设备。我们已经使用 NL 近两年,对它的实用性充满信心。它易于使用,几乎不需要任何时间来熟悉它。在手术过程中,只需要不到三十秒的时间,而且没有任何风险。它可以完全消毒,并可反复使用。
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The Nasal Locator: An Innovative Instrument to Define the Exact Point of Osteotomy in Preservation or Structural Rhinoplasty.

One of the most common components of most dorsal preservation (DP) techniques is subdorsal septal excision. Whatever the instrument used for this procedure (piezoelectric, Rongeur, or long scissors), it is paramount to be able to determine the exact subdorsal point (SDoP) at which the osteotomy/ostectomy (or cartilage cut) has been reached. First, to avoid any unnecessary extension of the osteotomy that increases the risk of fracture spreading into the cribriform plate and a consequent cerebrospinal fluid leak; second, to be sure that the subdorsal cut is high enough and can be combined/unified with the planned radix osteotomy.In addition, transverse osteotomies are usually necessary in both preservation and structural rhinoplasties. Even though many surgeons are satisfied with their osteotomy lines, it sometimes proves difficult to be sure of their position, especially during a DP rhinoplasty when both the transverse lines have to go in the direction of the planned radix osteotomy.We have developed the Nasal Locator (NL) to precisely define various nasal points of interest, such as a subdorsal cut (cartilaginous or bony), or a transverse or medial osteotomy line. It ends in two tips. The lower tip is placed at the point we wish to determine (e.g., SDoP or a transverse osteotomy), while the upper tip is fixed a certain distance from it (in all three dimensions), showing its exact location.Our in-depth research of the literature and the market has not revealed any device similar in form and function to the NL.We have been using the NL for almost 2 years and are confident of its usefulness. It is easy to use, and practically no time is needed to become familiar with it. During surgery, it is needed for less than 30 seconds and is risk-free. It is fully sterilizable and can be used repeatedly.

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来源期刊
Facial Plastic Surgery
Facial Plastic Surgery 医学-外科
CiteScore
1.80
自引率
10.00%
发文量
87
审稿时长
6-12 weeks
期刊介绍: Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures. Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.
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