A Technique to Correct Severe Lateral Crural Concavity: Adjunctive Use of a Polydioxanone Plate During Lateral Crural Reverse Plasty

Moina, Daniel G.; Moina, Gabriel; Rancati, Alberto

doi:10.1007/s00266-014-0404-5

Cited by 7 publications

(1 citation statement)

References 20 publications

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“…6,7 For many years, PDS has proven its worth as an alternative to cartilage or bone grafting during orbital floor reconstruction and rhinoplasty. [8][9][10][11][12] Such properties have shown to be useful for the temporary scaffolding of unstable septal elements during septoplasty, 8,[13][14][15] acting as a template for new cartilage formation. 7 This study examines the performance of PDS as a synthetic graft for the correction of septal deformities in patients with caudal septal deviation undergoing rhinoplasty.…”

Section: Introductionmentioning

confidence: 99%

Caudal Septoplasty for Treatment of C-Shaped Craniocaudal Deviation Using Synthetic Struts

Moina

Rancati

2016

Am J Cosmet Surg

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We describe our technique using polydioxanone (PDS) foil for the correction and stabilization of caudal septal deviation. In addition, we evaluate the effectiveness of this technique in the treatment of the C-shaped craniocaudal sepal deviation. A retrospective review was conducted of 55 patients who underwent open septorhinoplasty with PDS splinting for the correction of a caudal septal deviation. The mean age was 35 years (range, 25-45 years), 38 of 55 (69%) were females and all had symptomatic nasal obstruction. Preoperatively, there were osteocartilaginous involvement and hypertrophy of the inferior turbinate at the opposite side of the septal deviation in all cases; whereas 30 (54.5%) patients had a bone spur, 20 (36.3%) had collapse of the external nasal valve due to septal deviation. Five patients complained of sinus headache that resolved after surgical correction. All patients were pleased with their functional improvement and 52 (95%) with their aesthetic results. Only 1 patient required surgical revision, which was due to the development of asymptomatic posterior septal perforation identified at follow-up endoscopy. There were no additional postoperative complications. Splinting of the septal cartilage with a PDS foil was feasible, safe, and effective for the treatment of severe caudal septal deviation. This technique emerges as an alternative to traditional cartilage grafting, especially in patients with insufficient cartilage for harvest or in patients with thin nasal dorsum in whom the use of a spreader graft can widen the nose and modify the normal nose contours, providing long-term support and stability of the septum.

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Section: Introductionmentioning

confidence: 99%

Caudal Septoplasty for Treatment of C-Shaped Craniocaudal Deviation Using Synthetic Struts

Moina

Rancati

2016

Am J Cosmet Surg

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Assessment of Angulation Deformities of Lower Lateral Cartilages and Their Restoration

Özkan

Cingi

Thomas³

2020

Challenges in Rhinology

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The Comprehensive Evaluation of the Pinch Deformity due to Concave Alar Cartilages and Its Management

Özkan¹,

Kozanoğlu

2023

Aesth Plast Surg

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A Technique to Correct Severe Lateral Crural Concavity: Adjunctive Use of a Polydioxanone Plate During Lateral Crural Reverse Plasty

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Cited by 7 publications

References 20 publications

Caudal Septoplasty for Treatment of C-Shaped Craniocaudal Deviation Using Synthetic Struts

Caudal Septoplasty for Treatment of C-Shaped Craniocaudal Deviation Using Synthetic Struts

Assessment of Angulation Deformities of Lower Lateral Cartilages and Their Restoration

The Comprehensive Evaluation of the Pinch Deformity due to Concave Alar Cartilages and Its Management

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