鼻部美学亚单位重建原则在鼻修复重建中的应用与发展

Application and development of nasal aesthetic subunitprinciple in the reconstructive nasal surgery

鼻部缺损在临床上十分常见。如何有效重建鼻部的正常解剖结构、恢复鼻部美学一直是临床治疗的难点。经典鼻部美学亚单位重建原则的提出为鼻修复重建提供了重要指导。然而,随着学科的不断发展、患者对美学和功能的需求不断提高,经典的鼻部美学亚单位重建原则是否仍适用?学者们对这一经典原则做了哪些补充与改良?该原则在鼻部衬里重建中如何有效应用?本文重点针对鼻部美学亚单位的解剖基础、修复原则的发展及应用等内容进行综述,以期为鼻部修复重建手术的方案选择提供参考。

Nasal defect is very common in clinical practice.However,how to effectively reconstruct the normal anatomical structure and restore the aesthetics of the nose has always been challenges in reconstructive nasal surgery.The classical nasal reconstruction principle based on nasal aesthetic subunits provides important guidance for surgeons.Nevertheless,with the continuous development of the discipline and the increasing requirements of patients for aesthetics and functions,is the nasal aesthetic subunit principle still applicable?What have scholars done to supplement and improve this classic principle?How can this principle be effectively applied in the intranasal lining reconstruction?To address these issues,this review focuses on the anatomical basis,the development and application of aesthetic subunit principle,in order to provide reference for the selection of nasal reconstruction surgery.