鼻整形术中鼻翼基底缩小的精细化分类与手术技术：实现最佳美学效果的阶梯式方法

文献信息

中文摘要

背景： 鼻翼基底手术是鼻整形术的关键组成部分，用于实现鼻部比例平衡以及与面部特征的和谐。鼻基底形态的变异会影响美学和功能结局。
方法： 我们提出了一套实用的鼻翼基底畸形分类框架，并描述了一种根据患者特定解剖和种族特征量身定制的阶梯式手术方法。文中概述了针对宽鼻翼基底、孤立性鼻翼外张、复合畸形、厚鼻翼基底和厚鼻小柱小叶的手术策略。强调了实用的术中要点和保留组织的技术。
结果： 个体化的切口设计和切除模式能够精确矫正鼻基底不对称，同时保留自然的鼻孔轮廓。术后结果显示鼻部美学改善，瘢痕极小。
结论： 在实用分类系统和患者个体化规划的指导下，对鼻翼基底手术采取结构化方法，可优化美学效果并维持功能完整性。
证据等级： V（专家意见）。

英文摘要

BACKGROUND: Alar base surgery is a key component of rhinoplasty for achieving balanced nasal proportions and harmony with facial features. Variations in nasal base morphology affect both aesthetic and functional outcomes.
METHODS: We present a practical classification framework for alar base deformities and describe a stepwise surgical approach tailored to patient-specific anatomical and ethnic characteristics. Surgical strategies for wide alar base, isolated flare, combined deformities, thick alar base, and thick lobule are outlined. Practical intraoperative pearls and tissue-sparing techniques are emphasized.
RESULTS: Individualized incision design and resection pattern allowed precise correction of nasal base asymmetry while preserving natural nostril contour. Postoperative outcomes demonstrated improved nasal aesthetics with minimal scarring.
CONCLUSION: A structured approach to alar base surgery, guided by a practical classification system and patient-specific planning, optimizes aesthetic results and maintains functional integrity.
LEVEL OF EVIDENCE: V (Expert Opinion).