用精确的骨质修整术矫正歪鼻

Utku Kubilay, Ozlem Yagız Aghayarov
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摘要

目的:歪鼻因其复杂的解剖结构,尤其是骨穹窿部的解剖结构,给鼻整形术带来了巨大挑战。传统的方法主要是截骨,但往往无法均衡鼻骨的长度。本研究介绍了一种使用耳科钻孔机的新技术,通过缩短较长的鼻骨并在中线对齐鼻孔-鼻翼线来解决这一问题。手术方法在全身麻醉的情况下,采用 Goodman 切口进入鼻骨。使用耳科钻头进行侧向和横向切除术,缩短较长的鼻骨并重新定位鼻骨穹窿。术后 3 个月、6 个月和 12 个月进行随访。结果:在 48 个病例(22 名男性和 26 名女性)中,有 47 例取得了满意的效果,鼻子变直了。一例患者术后出现轻微偏差,但无需进行复查。讨论结果该技术有效解决了鼻骨长度不对称的问题,而传统方法往往会忽略这一问题。使用耳科钻头可以精确地切割鼻骨,从而获得持久的效果。结论:耳科钻孔辅助鼻骨矫形术是一种有效的鼻骨矫形方法:耳科钻辅助鼻骨切除术可有效均衡鼻骨长度,改善鼻部对称性。需要进行更多的病例系列研究和长期随访,以确认这种技术的有效性和安全性,包括在闭合式鼻整形术中的潜在应用。
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Straightening Crooked Nose with Precise Bone Refining.

Objectives: Crooked noses pose significant challenges in rhinoplasty due to their complex anatomy, particularly in the bony vault. Traditional methods focus on osteotomies but often do not equalize the lengths of the nasal bones. This study introduces a novel technique using otologic drills to address this problem by shortening the longer nasal bone and aligning the nasion-rhinion line at the midline. Methods: A Goodman incision was made to access the nasal bones under general anesthesia. Otologic drills were used for lateral and transverse ostectomies to shorten the longer nasal bone and reposition the nasal bone vault. Follow-ups were conducted 3, 6, and 12 months after surgery. Results: Of 48 cases (22 men and 26 women), 47 achieved satisfactory results with a straightened nose. One case showed a slight deviation after surgery, which did not require revision. Discussion: The technique effectively addresses the issue of asymmetric nasal bone lengths, which traditional methods often overlook. Using otologic drills allows precise bone cutting, contributing to long-lasting outcomes. Conclusions: Otologic drill-assisted ostectomies effectively equalize nasal bone lengths, improving nasal symmetry. More research with larger case series and long-term follow-up is needed to confirm the efficacy and safety of this technique, including potential applications in closed rhinoplasty.

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