事实｜PRS 提出 V 形鼻尖下移植物，用一块可预判的软骨模板对鼻尖做几何化控制。
点评｜模板化的价值在于可复制，但要盯住鼻尖投影的长期稳定性——这类文章最常见的坑是随访短、样本小。
PRS introduces a V-shaped subdomal graft as a predictable template for geometric tip control. Templates are only worth it if tip projection holds at 2+ years; check follow-up before adopting.
事实｜九具尸体、18 侧电磁导航截骨显示，导航能让截骨线更贴近鼻上颌缝。
点评｜把「手感」变成可测误差是好事，但导航的机器成本和每台多出的 10 分钟，才是它进不了日间手术室的真实原因。
Electromagnetic navigation placed osteotomies closer to the nasomaxillary suture in nine cadavers (n=18). Turning feel into a measured error is progress; capital cost and added setup time remain the adoption barrier.
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事实｜90 例随机对照：眶下神经阻滞 vs 蝶腭神经节阻滞，主要终点是术后 24 小时恢复质量。
点评｜这是能明天就改方案的那类证据——如果眶下阻滞不劣，操作更简单、超声引导更熟悉，值得换。
A 90-patient RCT compared infraorbital with sphenopalatine ganglion block on 24-hour recovery quality. Actionable now: if infraorbital block is non-inferior, it is easier to teach and to schedule.
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事实｜92 例耳软骨移植：术前耳模塑形 + 耳轮内侧切口，降低供区继发畸形。
点评｜供区畸形是患者术后最常抱怨却最少被写进论文的部分，这篇给了可照做的流程。
In 92 patients, preoperative ear splinting plus antihelix-side incisions reduced donor-site deformity. Donor-site deformity is under-reported and over-complained about; this gives a repeatable protocol.
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事实｜系统综述纳入 9 项研究，评估 AI 判断提升术后年轻化的客观性与患者主观感知的一致性。
点评｜结论大概率是「AI 算得准、但和患者自己觉得好不好看不完全一致」——这正是咨询时最该讲的那句话。
Nine studies reviewed on AI-based age estimation and its concordance with patient-perceived rejuvenation. Expect a gap between algorithmic age gain and patient satisfaction; that gap is the consultation script.
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