文档介绍：Nasal Hump Reduction With Powered Micro Saw Osteotomy
电动微锯截骨术在驼峰鼻治疗中的应用
(注:与《整形外科学》Page1057比较)
Background: Hump reduction with manual osteotomy is an invasive procedure in aesthetic rhinoplasty.
Objective: We describe powered micro saw osteotomy as an effective alternative to manual hump removal.
Methods: Powered micro saw osteotomy was performed to reduce the bony hump layer by layer to reach
the intended level. The edges of the open roof were softened with a powered reciprocating rasp. Shielded
burrs were used to remove minimal bony prominences as needed
背景:手动截骨在治疗驼峰鼻是不断进长的过程。
目的:描述电动微锯截骨术作用,可作为一种有效的替代工具,治疗驼峰鼻。
方法:电动微锯截骨是分层分段的截除多余骨组织,以达到预期的水平。在驼峰顶部用微锯打开,通过截取最少的骨质达到治疗目的。
Results: Between April 2005 and February 2007, the author performed 332 primary rhinoplasty and septorhinoplasty
procedures. Hump reduction with powered micro saw osteotomy was performed in 259 cases,
including 127 with moderate humps (3 to 4 mm), 112 with large humps (5 to 6 mm), and 20 with very large
humps (7 to 8 mm). Satisfactory results were maintained in all cases, with minimal revision in 10 cases and
plications.
结果:2005年4月至2007年2月,笔者进行了332例鼻整形术和鼻中隔成形术。
其中用电动微锯截骨术治疗驼峰鼻达到259例,
其中包括127(3至4毫米),中度拱,大拱112(5至6毫米),并具有非常大的20
拱(7至8毫米)。在这些病例中都有满意的治疗效果,有10例经过轻微的修改。
而且无明显并发症的发生。
Bony hump reduction is an integral part of classic
rhinoplasty and is plished with precise execution
of blunt force osteotomies. Overresection,
asymmetry, minution are among the recognized
complications of manual osteotomy that can occur even
in the hands of practiced surgeons. Power-assisted
instrumentation now offers a useful alternative for fine
and controlled reduction of the bony hump. Recently,
powered rasps have been essfully used in the case
of minimal -3 Powered micro saw osteotomy
(PMSO) was used in cases of moderate, large, and very
large humps. Using this novel system, it is possible to
slice the bony hump in 2, 3, or even 4 layers.
在鼻整形中,驼峰鼻的截骨治疗是一个经典的方法。
在手工钝力截骨鼻整形过程中需要整形外