背景:在过去的十年中,隆鼻术的概念发生了前所未有的演变,技术和工具。新概念带来了新技术,普遍但不排他地与保留隆鼻有关,新工具的使用使这些技术变得更加容易,更精确,因此可重复性更好。电动工具目前只能被认为是相对较新的,而Piezo在过去几年中获得了极大的普及。
方法:本文重点介绍电动工具(具有特定球形的多样化毛刺,圆柱形,圆锥形,圆锥形盘状尖端)可以以逻辑和有效的方式与压电及其不同的插入件的使用有效地集成在一起。
结论:这种组合应以渐进的方式实施为特定的手术步骤,虽然,总的来说,毛刺应用于重塑和压电切割骨。本文将提到该规则的具体和值得注意的例外。显然,应该考虑成本,但好处是显而易见的:加强控制,减少不对称,更光滑的骨和中间拱顶轮廓,以及对鼻中隔和鼻甲的更精确管理。我们是根据两个参与研究的中心的综合经验得出这个结论的,在过去的三年里有350多名病人。
结论:本文重点介绍了高级作者青睐的改良背侧裂口保留混合隆鼻,但是它的原则很容易适用于任何结构,保存,或者混合式隆鼻术.
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Over the past decade,
rhinoplasty has seen an unprecedented evolution in concepts, techniques and tools. New concepts have led to new techniques, prevalently but not exclusively related to preservation
rhinoplasty, and the use of new tools has made such techniques easier, more precise and thus better reproducible. Power tools can presently be considered only relatively new, while Piezo has gained great popularity over the last years.
METHODS: This article is focused on how power tools (diverse burrs with specific spherical, cylindrical, conical, discoid tips) can be integrated efficiently together with the use of Piezo and its different inserts in a logical and effective manner.
CONCLUSIONS: This combination should be implemented in a progressive fashion into specific steps of surgery, although, in general, burrs should be used for reshaping and piezo for cutting bone. Specific and notable exceptions to this rule will be mentioned in the paper. Obviously, cost should be considered, but the benefits are evident: heightened control, reduced asymmetries, smoother bony and middle vault contour, and a more precise management of septum and turbinates. We have come to this conclusion following the combined experience of the two centers participating in the study, with over 350 patients over the last three years.
CONCLUSIONS: The article focuses on the modified dorsal split preservation hybrid
rhinoplasty favored by the senior author, but its principles will easily apply to any structural, preservation, or hybrid
rhinoplasty.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .