한국인의 특성에 맞춘 매부리코의 교정
Correction of Hump Nose Considering the Characteristics of Korean Nose
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The Korean hump nose often differs from Caucasian hump nose in that the size of the nasal hump is not prominent and the hump is frequently associated with a low nasal dorsum and radix with under-projected nasal tip. Therefore, typical reductive rhinoplasty techniques are not effective in managing the characteristic anatomy of the Korean hump nose. Because Korean hump nose patients have all kinds of nasal deformity including low dorsal profile, abnormal tip projection, tip rotation and deviation, surgeons should be skilled at various techniques of rhinoplasty. Removal of hump should be performed gradually considering the balance of nasal tip and nasal dorsum and radix. Small hump with low radix can be corrected by radix augmentation. If the hump is big, the hump should not be remained by too conservative removal of the hump. Most hump in Korean nose may be corrected well by using nasal tip and dorsal augmentation with the appropriate hump removal. The strengthening and augmentation of nasal structure using autologous cartilage may accomplish the balanced correction of hump nose aesthetically and functionally with tailored removal of hump in Korean patients. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(12):815-20
Abstract
The Korean hump nose often differs from Caucasian hump nose in that the size of the nasal hump is not prominent and the hump is frequently associated with a low nasal dorsum and radix with under-projected nasal tip. Therefore, typical reductive rhinoplasty techniques are not effective in managing the characteristic anatomy of the Korean hump nose. Because Korean hump nose patients have all kinds of nasal deformity including low dorsal profile, abnormal tip projection, tip rotation and deviation, surgeons should be skilled at various techniques of rhinoplasty. Removal of hump should be performed gradually considering the balance of nasal tip and nasal dorsum and radix. Small hump with low radix can be corrected by radix augmentation. If the hump is big, the hump should not be remained by too conservative removal of the hump. Most hump in Korean nose may be corrected well by using nasal tip and dorsal augmentation with the appropriate hump removal. The strengthening and augmentation of nasal structure using autologous cartilage may accomplish the balanced correction of hump nose aesthetically and functionally with tailored removal of hump in Korean patients. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(12):815-20
참고문헌 (12)
- Toriumi DM, "Open structure rhinoplasty for management of the non-Caucasian nose", Oper Tech Otolaryngol Head Neck Surg, 1(4), pp.225~233 (1990)
- Jin HR, "Nasal hump removal in Asians", Acta Otolaryngol Suppl, 558, pp.95~101 (2007)
- Jang YJ, "Classification of convex nasal dorsum deformities in Asian patients and treatment outcomes", J Plast Reconstr Aesthet Surg, 64(3), pp.301~306 (2011)
- Rohrich RJ, "Component dorsal hump reduction:the importance of maintaining dorsal aesthetic lines in rhinoplasty", Plast Reconstr Surg, 114(5), pp.1298~1308 (2004)
- Ishida J, "Treatment of the nasal hump with preservation of the cartilaginous framework", Plast Reconstr Surg, 103(6), pp.1729~1733 (1999)
- Arslan E, "Upper lateral cartilage-sparing component dorsal hump reduction in primary rhinoplasty", Laryngoscope, 117(6), pp.990~996 (2007)
- 김인상, "An Anatomic Study on the Overlap Patterns of Structural Components in the Keystone Area in Noses of Koreans", Clinical and Experimental Otorhinolaryngology, 1(3), pp.158~160 (2008), 대한이비인후과학회
- Kim CH, "Yoon JH. Surgical anatomy of cartilaginous structures of the Asian nose: clinical implications in rhinoplasty", Laryngoscope, 120(5), pp.914~919 (2010)
- Jin HR, "Key maneuvers for successful correction of a deviated nose in Asians", Am J Rhinol, 20(6), pp.609~614 (2006)
- Sheen JH, "Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty", Plast Reconstr Surg, 73(2), pp.230~239 (1984)
- Toriumi DM, "Asian rhinoplasty", Facial Plast Surg Clin North Am, 15(3), pp.293~307 (2007)
- Jang YJ, "Tutoplast-processed fascia lata for dorsal augmentation in rhinoplasty", Otolaryngol Head Neck Surg, 137(1), pp.88~92 (2007)