Semi-open rhinoplasty a new Maxillofacial technique 英文参考文献.docVIP

Inchingoloetal.HeadFaceMedicine2012,8:13 /8/1/13 HEAD FACE MEDICINE METHODOLOGY OpenAccess Semi-openrhinoplasty:anew Maxillofacialtechnique FrancescoInchingolo1,4,10*,MarcoTatullo2,4,8,MassimoMarrelli4,8,AlessioDInchingolo5,RobertoCorelli6, AngeloMInchingolo7,PaoloFlace2,RaffaeleCagiano9,GiannaDipalma4andFabioMAbenavoli3 Abstract Background:Rhinoplastyopenrepresentsasurgicaltechniquetoaccesstotheinternalstructuresofthenose;it isanalternativetomoretraditionalclosedrhinoplasty.However,boththesetechniqueshavesomeadvantages andsomedisadvantages.Inthisworktheauthorsdescribeacasethatshowsthestepsofanewsurgicaltechnique: the“semi-open”rhinoplasty. Methods:Thesemi-opentechniqueisperformedbymakinganincisiontoaccessonthemucosaofboththe nostrils,andthroughthisaccessweseparatethecartilagesofthecolumellafromthealarcartilages,debridingthem atthedomus.Withsuchaccesswecanperformanytypeofrhinoplastysurgerywithfunctionaloraesthetic purposes. Discussions:Traditionaltechniqueshaveundoubtedlysomeadvantagesandsomedisadvantages.Thesemi-open techniquehastheseveraladvantagesoftheopentechnique,anditdoesnotinvolvethepresenceofpost-surgicalscars. Conclusions:Thisinnovativetechniqueprovidesgreatpredictabilityandminimalpostoperativediscomfort,withno aestheticdamage. Keywords:Rhinoplasty,Maxillofacialtechnique,Plasticsurgery Introduction Materialsandmethods Rhinoplasty open is a surgical technique that allows, The semi-open technique is performed by making an through the transverse incision of the columella [1], to incisiontoaccessonthemucosaofthenostril(Figure1), accesstotheosteo-cartilaginousstructuresofthenoseand andthroughthisaccessweseparatethecartilagesofthe to make all appropriate changes course to achieve func- columella from the alar cartilages (Figure 2), the same tionalandaestheticpurposes,thankstoadirectandwide operation is performed in the contralateral nostril, vision of surgical site. The technique open represents a debriding them at the domus. Later, with the al