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Laryngoscope. 2007 Jun;117(6):990-6.

Upper lateral cartilage-sparing component dorsal hump reduction in primary rhinoplasty.

Author information

1
Department of Plastic and Reconstructive Surgery, Mersin University, Medical School, Mersin, Turkey. arslane@mersin.edu.tr

Abstract

BACKGROUND:

Dorsal hump reduction is a critical step in rhinoplasty. Most of the reasons behind revisional procedures are related to incorrect hump reduction.

METHODS:

The authors used a modified dorsal hump reduction method in their primary cases, the steps of which are as follows: 1) dissection of the nasal vault; 2) bilateral submucoperichondrial dissections to free the cartilaginous septum; 3) separation of the upper lateral cartilages from the cartilaginous septum; 4) partial dissection of the upper lateral cartilages from the inner surfaces of the nasal bones bilaterally; 5) separation of the bony septum from the nasal bones bilaterally; 6) reduction of the partially isolated nasal bones; 7) en bloc cartilaginous and bony septum removal. The authors have operated on 68 primary cases over a 2 year period (30 mo).

RESULTS:

In the great majority of cases, the results were satisfactory. No revisions were performed in this patient group.

CONCLUSIONS:

This method is a good alternative to traditional techniques in noses with a high and narrow roof, thin skin, and weak middle nasal vault. Revision could be performed more easily when required. Initially, wide noses may not seem good candidates for this procedure; however, careful case-based preoperative planning may overcome this difficulty.

PMID:
17545863
DOI:
10.1097/MLG.0b013e31805366ed
[Indexed for MEDLINE]
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