Embriologia e desenvolvimento pós-natal do septo e pirâmide nasal: Revisão narrativa e implicações cirúrgicas

Autores

  • David Rodrigues Dias Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial , Centro Hospitalar Universitário do Porto, Portugal
  • Miguel Gonçalves Ferreira Serviço de Otorrinolaringologia e Cirurgia Cervico-Facial, Centro Hospitalar Universitário do Porto, Portugal
  • Mariline Santos Serviço de Otorrinolaringologia e Cirurgia Cervico-Facial, Centro Hospitalar Universitário do Porto, Portugal
  • Sandra Sousa e Castro Serviço de Otorrinolaringologia e Cirurgia Cervico-Facial, Centro Hospitalar Universitário do Porto, Portugal
  • Cecília Almeida e Sousa Serviço de Otorrinolaringologia e Cirurgia Cervico-Facial, Centro Hospitalar Universitário do Porto, Portugal
  • Cecília Almeida e Sousa Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial , Centro Hospitalar Universitário do Porto

DOI:

https://doi.org/10.34631/sporl.788

Palavras-chave:

embriologia, desenvolvimento pós-natal, pirâmide nasal, cartilagem septal, septoplastia, rinoplastia, spare roof technique

Resumo

 

 O nariz é uma estrutura central para a harmonia da face. A maior parte do desenvolvimento do nariz e da face ocorre durante a embriogénese, entre as 4 e as 8 semanas. Apesar deste processo ocorrer em larga medida no início da embriogénese, o nariz do neonato é em vários aspetos diferente do nariz do adulto, dado que irão ocorrer alterações significativas da cartilagem septal, cartilagens laterais superiores, pirâmide nasal e terço médio da face ao longo do crescimento da criança. Além disso, as estruturas que compõem o nariz também sofrem alterações degenerativas. Os autores propõem-se rever e sistematizar os mecanismos subjacentes ao crescimento do nariz, sublinhando as implicações que estes têm para a cirurgia nasal. 

Downloads

Não há dados estatísticos.

Referências

Neskey D, Eloy J, Casiano R. Nasal, Septal, and Turbinate Anatomy and Embryology. Otolaryngol Clin North Am. 2009 Apr;42(2):193-205, vii. doi: 10.1016/j.otc.2009.01.008.

Som P, Naidich T. Illustrated Review of the Embryology and Development of the Facial Region, Part 1: Early Face and Lateral Nasal Cavities. AJNR Am J Neuroradiol. 2013 Dec;34(12):2233-40. doi: 10.3174/ajnr.A3415.

Som P, Naidich T. Illustrated Review of the Embryology and Development of the Facial Region, Part 2: Late Development of the Fetal Face and Changes in the Face from the Newborn to Adulthood. AJNR Am J Neuroradiol. 2014 Jan;35(1):10-8. doi: 10.3174/ajnr.A3414.

Beck JC, Sie KCY. The growth and development of the nasal airway. Facial Plast Surg Clin North Am. 1999;7(257).

Kim CH, Park HW, Kim K, et al. Early development of the nose in human embryos: a stereomicroscopic and histologic analysis. Laryngoscope. 2004 Oct;114(10):1791-800. doi: 10.1097/00005537-200410000-00022

Kim In, Chung Y, Lee Y. Analysis of the Development of the Nasal Septum according to Age and Gender Using MRI. Clin Exp Otorhinolaryngol. 2008 Mar;1(1):29-34. doi: 10.3342/ceo.2008.1.1.29

Verwoerd C, Henriette L. Rhinosurgery in children: developmental and surgical aspects of the growing nose. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2010;9:Doc05. doi: 10.3205/cto000069.

Kim J, Jung D, Kim H,, Kim C, Kim T. Analysis of the Development of the Nasal Septum and Measurement of the Harvestable Septal Cartilage in Koreans Using Three-Dimensional Facial Bone Computed Tomography Scanning. Arch Plast Surg. 2014 Mar;41(2):163-70. doi: 10.5999/aps.2014.41.2.163.

Park S, Choi J, Park H, Lim Y et al. Are gender differences in external noses caused by differences in nasal septal growth? J Craniomaxillofac Surg. 2014 Oct;42(7):1140-7. doi: 10.1016/j.jcms.2014.01.045.

Vetter U, Pirsig W, Helbing G, Heit W et al. Patterns of growth in human septal cartilage: a review of new approaches. Int J Pediatr Otorhinolaryngol. 1984 Mar;7(1):63-74. doi: 10.1016/s0165-5876(84)80054-3.

Van Loosen J, Verwoerd-Verhoef HL, Verwoerd CDA. The nasal septal cartilage in the newborn. Rhinology. 1988 Sep;26(3):161-5.

Verwoerd-Verhoef HL, ten Koppel PGJ, van Osch GJVM Wound healing of cartilage structures in the head and neck region. Int J Pediatr Otorhinolaryngol. 1998 May 15;43(3):241-51. doi: 10.1016/s0165-5876(98)00003-2.

Min YG, Jung HW, Kim CS. Prevalence study of nasal septal deformities in Korea: results of a nation-wide survey. Rhinology. 1995 Jun;33(2):61-5.

Hwang S LO, Hwang M, Kim M, Lee J. The Clinical Analysis of the Nasal Septal Cartilage by Measurement Using Computed Tomography. Arch Craniofac Surg. 2016 Sep;17(3):140-145. doi: 10.7181/acfs.2016.17.3.140.

Simon P, Lam K, Sidle D, Tan B. The Nasal Keystone Region: An Anatomical Study. JAMA Facial Plast Surg. 2013 May;15(3):235-7. doi: 10.1001/jamafacial.2013.777.

Palhazi P, Rollin D, Kosins M. The Osseocartilaginous Vault of the Nose: Anatomy and Surgical Observations. Aesthet Surg J. 2015 Mar;35(3):242-51. doi: 10.1093/asj/sju079.

Kim In, Chung Y, Lee Y. An Anatomic Study on the Overlap Patterns of Structural Components in the Keystone Area in Noses of Koreans. Clin Exp Otorhinolaryngol. 2008 Sep;1(3):158-60. doi: 10.3342/ceo.2008.1.3.158.

Oneal RM, Beil RJ. Surgical Anatomy of the Nose. Clin Plast Surg. 2010 Apr;37(2):191-211. doi: 10.1016/j.cps.2009.12.011.

Sadick H, . Rowe-Jones J , Gassner H. Nuances in component nasal hump reduction. J Plast Reconstr Aesthet Surg. 2018 Feb;71(2):178-184. doi: 10.1016/j.bjps.2017.10.012.

Scott JH. Proceedings of the Anatomical Society, 1950-1:The cartilage of the nasal septum and facial growth. J Anat. 1951 Oct; 85(Pt 4): 408–434.

Al Dayeh A, Rafferty K, Egbert M, Herring S. Real-time monitoring of the growth of the nasal septal cartilage and the nasofrontal suture. Am J Orthod Dentofacial Orthop. 2013 Jun;143(6):773-83. doi: 10.1016/j.ajodo.2013.01.012.

Kvinnsland S. In vitro growth of the nasal septal cartilage of the rat in a serum-free culture-medium. [3-H]-thymidine incorporation studies. Acta Anat (Basel). 1988;131(3):231-4. doi: 10.1159/000146521.

Kvinnsland S. Growth potential of autografts of cartilage from nasal septum in rat. Plast Reconstr Surg. 1973 Nov;52(5):557-61. doi: 10.1097/00006534-197311000-00015.

Copray J. Growth of the nasal septal cartilage of the rat in vitro. J Anat. 1986 Feb;144:99-111.

Tokimasa C, Kawata T, Fujita T, Kaku M. Effects of insulin-like growth factor-I on nasopremaxillary growth under different masticatory loadings in growing mice. Arch Oral Biol. 2000 Oct;45(10):871-8. doi: 10.1016/s0003-9969(00)00057-1.

Hans MG, Scaletta L, Occhino JC, Occhino JC The effects of antirat nasal septum cartilage antisera on facial growth in the rat. Am J Orthod Dentofacial Orthop. 1996 Jun;109(6):607-15. doi: 10.1016/s0889-5406(96)70072-0.

Akgüner M, Barutçu A, Karaca C. Adolescent Growth Patterns of The Bony and Cartilaginous Framework of the Nose: A Cephalometric Study. Ann Plast Surg. 1998 Jul;41(1):66-9. doi: 10.1097/00000637-199807000-00012.

Subtelny JD. A longitudinal study of soft tissue facial structures and their profile characteristics, defined in relation to underlying skeletal structures. American Journal of Othodontics. 1959 Jul; 45(7):481-507. doi: 10.1016/0002-9416(59)90014-4.

Buschang P, De La Cruz R, Viazis A, Demirjian A. Longitudinal shape changes of the nasal dorsum Am J Orthod Dentofacial Orthop. 1993 Dec;104(6):539-43. doi: 10.1016/S0889-5406(05)80437-8.

C. Vacher J. Accioli J. Lezy. Surgical anatomy of the nose in the elderly: value of conservative rhinoplasty by the transoral route. Surg Radiol Anat. 2002 Aug-Sep;24(3-4):140-6. doi: 10.1007/s00276-002-0039-0.

Cochran CS, Ducic Y, DeFatta RJ. Restorative Rhinoplasty in the Aging Patient. Laryngoscope. 2007 May;117(5):803-7. doi: 10.1097/01.mlg.0000248240.72296.b9

Moody M, Ross AT.. Rhinoplasty in the aging patient. Facial Plast Surg. 2006 May;22(2):112-9. doi: 10.1055/s-2006-947717.

Van der Heijden P, Korsten-meijer AG, Van der Laan BF, Wit HP et al. Nasal growth and maturation age in adolescents. Arch Otolaryngol Head Neck Surg. 2008 Dec;134(12):1288-93. doi: 10.1001/archoto.2008.501.

Rhys Evans PH, Brain DJ. The influence of nasal osteotomies and septum surgery on the growth of the rabbit snout. J Laryngol Otol. 1981 Nov;95(11):1109-19. doi: 10.1017/s002221510009188x.

Meeuwis J, Verwoerd-Verhoef HL, Verwoerd CDA. Normal and abnormal nasal growth after partial submucous resection of the cartilaginous septum. Acta Otolaryngol. 1993 May;113(3):379-82. doi: 10.3109/00016489309135829.

Nolst Trenité GJ, Verwoerd CDA, Verwoerd-Verhoef HL. Reimplantation of autologous septal cartilage in the growing nasal septum. II. The influence of reimplantation of rotated or crushed autologous septal cartilage on nasal growth; an experimental study in rabbits. Rhinology. 1988 Mar;26(1):25-32.

Santos M, Rego AR, Coutinho M, Sousa CA, Ferreira MG. Spare roof technique in reduction rhinoplasty: Prospective study of the first one hundred patients. Laryngoscope. 2019 Dec;129(12):2702-2706. doi: 10.1002/lary.27804.

Ferreir MG, Monteiro D, Reis C, Sousa CA. Spare Roof Technique: A Middle Third New Technique. Facial Plast Surg. 2016 Feb;32(1):111-6. doi: 10.1055/s-0035-1570503.

Robotti E, Chauke-Malinga NY, Leone F. A Modified Dorsal Split Preservation Technique for Nasal Humps with Minor Bony Component: A Preliminary Report. Aesthetic Plast Surg. 2019 Oct;43(5):1257-1268. doi: 10.1007/s00266-019-01425-2.

Lee J, McHugh J, Kim J, Baker S, Moyer J. Age-Related Histologic Changes in Human Nasal Cartilage. JAMA Facial Plast Surg. 2013 Jul-Aug;15(4):256-62. doi: 10.1001/jamafacial.2013.825.

Publicado

2020-12-05

Como Citar

Dias, D. R., Gonçalves Ferreira, M. ., Santos, M., Sousa e Castro, S., Almeida e Sousa, C. ., & Almeida e Sousa, C. . (2020). Embriologia e desenvolvimento pós-natal do septo e pirâmide nasal: Revisão narrativa e implicações cirúrgicas. Revista Portuguesa De Otorrinolaringologia E Cirurgia De Cabeça E Pescoço, 58(4), 233-239. https://doi.org/10.34631/sporl.788

Edição

Secção

Artigo de Revisão

Artigos mais lidos pelo mesmo (s) autor (es)

<< < 1 2 3