鼻骨截骨术的临床进展及其在功能鼻整形中的应用  

Clinical progress of nasal osteotomy and its application in functional rhinoplasty

作　　者：余庆雄 宋楠 何爱娟 于金超 刘宁华 张天宇 YU Qingxiong;SONG Nan;HE Aijuan;YU Jinchao;LIU Ninghua;ZHANG Tianyu(Department of Facial Plastic and Reconstructive Surgery,Eye&ENT Hospital of Fudan University,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼耳鼻整形外科,上海200031

出　　处：《中国耳鼻咽喉颅底外科杂志》2025年第1期46-51,共6页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：上海市“科技创新行动计划”(21DZ2200700)。

摘　　要：骨性鼻锥位于鼻部的上1/3,是构成鼻外形的重要组成部分,驼峰鼻畸形、歪鼻畸形、创伤鼻畸形的整形修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术、内侧截骨术、内侧斜行截骨术、中间截骨术、横向截骨术。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,更好地发挥功能保护作用。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中的应用和进展,为广大鼻整形医生提供参考。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 is a classic rhinoplasty operation to achieve the purpose of shaping the bony nasal pyramid by incising and moving the bone with an osteotome.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 also been integrated with the concept of preservation rhinoplasty to better play a functional protection role.This article introduces the anatomical basis,clinical classification,and the latest clinical progress of nasal osteotomy.At the same time,it also introduces the application and progress of nasal osteotomy in preservation rhinoplasty,providing a reference for rhinoplasty surgeons.

关 键 词：鼻整形 鼻骨截骨术 保留鼻整形 功能性鼻整形 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]