通讯作者：张天宇 Email:[e-mail]

Clinical Progress of Nasal Osteotomy and Its Application in Functional Rhinoplasty

摘要:

骨性鼻锥位于鼻上三分之一,是构成鼻外形的重要组成部分,驼峰鼻畸形、歪鼻畸形、创伤鼻畸形的整复往往涉及骨性鼻锥重建与塑形。鼻骨截骨术在现代鼻整形术诞生之初便已存在,其通过骨凿切开并移动骨质,达到骨性鼻锥塑形的目的,是经典的鼻整形手术操作。鼻骨截骨术依据截骨路径分为外侧截骨、内侧截骨、内侧斜行截骨、中间截骨、横向截骨。传统的鼻骨截骨术在盲视下操作,精准性差且学习曲线漫长,随着鼻整形技术的发展,内镜技术、动力设备、压电设备逐渐应用到鼻骨截骨术中,使鼻骨截骨术变得可视和精准。鼻骨截骨术也与保留鼻整形理念相融合,更好的发挥功能保护作用。本文介绍了鼻骨截骨术的解剖基础、临床分类以及最新的临床进展,同时介绍鼻骨截骨术在保留鼻整形与中的应用和进展,为广大鼻整形医生提供参考。

关键词:鼻整形;鼻骨截骨;保留鼻整形;功能性鼻整形，

Abstract:

The bony nasal pyramid, located in the upper one - third of the nose, is an important component of the nasal appearance. The correction of hump-nose deformity, deviated-nose deformity, and traumatic nasal deformity often involves the reconstruction and shaping of the bony nasal pyramid. Nasal osteotomy has existed since the inception of modern rhinoplasty. It achieves the shaping of the bony nasal pyramid by incising and moving the bone with an osteotome, and is a classic rhinoplasty surgical operation. Nasal osteotomy is classified into lateral osteotomy, medial osteotomy, medial oblique osteotomy, intermediate osteotomy, and transverse osteotomy according to the osteotomy path. Traditional nasal osteotomy is performed under blind vision, with poor accuracy and a long learning curve. With the development of rhinoplasty techniques, endoscopic techniques, power equipment, and piezoelectric equipment have gradually been applied to nasal osteotomy, making nasal osteotomy visible and precise. Nasal osteotomy has

Key words:Rhinoplasty; Nasal osteotomy; Preservation rhinoplasty; Functional rhinoplasty