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Correction of the Asian deviated nose with no hump using unilateral bony mobilisation and dorsal septal suture fixation

Title
Correction of the Asian deviated nose with no hump using unilateral bony mobilisation and dorsal septal suture fixation
Authors
Burm J.S.
Ewha Authors
범진식
Issue Date
2007
Journal Title
Journal of Plastic, Reconstructive and Aesthetic Surgery
ISSN
1748-6815JCR Link
Citation
vol. 60, no. 2, pp. 180 - 187
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
A deviated nose is corrected by straight realignment and long-term maintenance of the bony and cartilaginous structure. Traditional rhinoplasty usually involves complete separation of both upper lateral cartilages from the septum and bilateral bony mobilisation after osteotomy. In the Asian deviated nose with no hump, these procedures are intrinsically destabilising and may weaken the supporting bony and cartilaginous structure. To avoid these problems, I performed unilateral bony mobilisation with anterior wedge resection and suture fixation of the dorsal septum to the nasal bone without separation of the upper lateral cartilage. This manoeuvre is simple and reproducible and produces satisfactory straightening and maintenance of the nasal dorsum while maximally preserving the structural support. Here, I describe the surgical techniques including the choice of the site of unilateral osteotomy and wedge resection, a new classification of bony deviation, two surgical modifications applied to different types of deviation and rationale of dorsal septal suture fixation. Also, clinical cases of nasal deviation are presented. © 2006 The British Association of Plastic Surgeons.
DOI
10.1016/j.bjps.2006.03.038
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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