Reconstitution of the Nasal Dorsum following Component Dorsal Reduction in Primary Rhinoplasty

Roostaeian, Jason; Unger, Jacob G.; Lee, Michael R. F.; Geissler, Palmyra; Rohrich, Rod J.

doi:10.1097/01.prs.0000438453.29980.36

Cited by 55 publications

(51 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The reshaping and repositioning of the nasal bones allow a good reconstruction of the roof, the redefining of the lateral and dorsal esthetic lines and better highlights of the lateral bone polygon [11][12][13][14] as shown in pictures 9 and 10. Conventional techniques of osteotomies do not allow a large skeletonization of the dorsum because this could cause a collapse of the nasal bones structures.…”

Section: Discussionmentioning

confidence: 98%

Osteoectomy in Rhinoplasty

Çakr

Finocchi

Tambasco

et al. 2016

Annals of Plastic Surgery

View full text Add to dashboard Cite

Although this technique prolongs the operating time, it could offer considerable advantages in comparison with the classical techniques using osteotomies and hammer. This is because it offers a greater respect to the nasal respiratory function and gives a much better nasal base width control, resulting in more predictable results, less trauma, and therefore a lower risk of postoperative complications.

show abstract

Section: Discussionmentioning

confidence: 98%

Osteoectomy in Rhinoplasty

Çakr

Finocchi

Tambasco

et al. 2016

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…This is why many surgeons have moved toward other techniques that attempt to maintain or mimic the elastic properties of the UPs. 8 Park 9 was the first to place a nonabsorbable flaring suture between the ULs of an intact UL–septum complex, which caused 2 effects: increased UL tension and a wider internal valve angle. Roostaeian et al 8 describe the UL cartilage tension spanning suture.…”

Section: Discussionmentioning

confidence: 99%

Reinserting the Hump in Primary Rhinoplasty: The Gain Is Three-fold

Constantinidis

Fyrmpas

2016

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background:Hump reduction in aesthetic rhinoplasty destabilizes the middle vault. Secondary maneuvers are necessary to avoid the long-term functional and aesthetic sequelae of middle vault collapse. We describe a new technique of reinserting the resected hump that combines (a) placement of the modified hump between the upper laterals and (b) bridging sutures between the upper laterals.Methods:Retrospective review of patients undergoing primary aesthetic rhinoplasty with hump resection.Results:Sixty-two patients, 46 with a straight and 16 with a deviated nose, enrolled. Twenty-three patients were operated through an open approach and 39 through a closed approach. Osteotomies were necessary in 56 patients. Mean follow-up was 13 months (range, 9–16 mo). A satisfactory result was achieved in all but 3 patients who had visible irregularities. Two of them required minimal rasping under local anesthesia and the third patient refused any further treatment.Conclusions:Our modification of Skoog’s original technique has certain advantages: the hump acts as a spreader and onlay graft, which preserves the natural dorsal lines. The sutures increase the nasal valve angle while preventing displacement of the reinserted hump. Indications include a straight or mildly deviated nose, a long thin-skinned nose with short nasal bones. The technique is also feasible through the closed or open approach and offers a valuable alternative to spreader grafts or flaps.

show abstract

“…5 Roostaeian et al described Plastic and Reconstructive Surgery • February 2016 a graduated approach to the correction of the nasal dorsum by emphasizing the integrity of the upper lateral cartilages when performing dorsal reduction. 4 This approach is versatile and reproducible, and will result in optimal aesthetic correction of the nasal dorsum and prevent or minimize the most common adverse outcomes (Figs. 2 through 4).…”

Section: Dorsal Aesthetic Lines and Dorsal Component Managementmentioning

confidence: 99%

“…3,4 Immediately after detachment from the nasal septum during dorsal reduction, there is a natural tendency for the upper lateral cartilage to recoil, resulting in asymmetrical dorsal aesthetic lines. 5 Roostaeian et al described Plastic and Reconstructive Surgery • February 2016 a graduated approach to the correction of the nasal dorsum by emphasizing the integrity of the upper lateral cartilages when performing dorsal reduction.…”

Section: Dorsal Aesthetic Lines and Dorsal Component Managementmentioning

confidence: 99%

“…1 Three approaches have been described that allow for the restoration of the upper lateral cartilages following component dorsal hump reduction. 4 The first technique uses an upper lateral cartilage tension spanning suture. This is indicated in patients with thin skin because of increased visibility of contour irregularities and larger (>3 mm) dorsal hump reduction procedures.…”

Section: Dorsal Aesthetic Lines and Dorsal Component Managementmentioning

confidence: 99%

See 1 more Smart Citation

The Importance of the Upper Lateral Cartilage in Rhinoplasty

Rohrich

Pulikkottil

Stark

et al. 2016

Plastic and Reconstructive Surgery

Self Cite

View full text Add to dashboard Cite

The upper lateral cartilages are instrumental in obtaining optimal outcomes in aesthetic and functional rhinoplasty. Knowledgeable manipulation of the upper lateral cartilages can take advantage of the crucial malleable parameters of projection, width, nasal dorsal shape, and tip rotation. A lucid understanding of the anatomical intricacies in this portion of the cartilaginous framework permits the surgeon to use their unique characteristics to consistently achieve the desired results.

show abstract

Reconstitution of the Nasal Dorsum following Component Dorsal Reduction in Primary Rhinoplasty

Abstract: Therapeutic, IV.

Cited by 55 publications

References 11 publications

Osteoectomy in Rhinoplasty

Osteoectomy in Rhinoplasty

Reinserting the Hump in Primary Rhinoplasty: The Gain Is Three-fold

The Importance of the Upper Lateral Cartilage in Rhinoplasty

Contact Info

Product

Resources

About