Vertical Sectioning of the Cartilaginous Vault for Rhinoplasty: Technique and Assessment.

Autor:	Boeckmann J; Department of Otolaryngology, Head and Neck Surgery, University of California Irvine, Orange, CA, USA., Hakimi AA; Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, CA, USA.; Department of Otolaryngology-Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA., Martin E; Department of Otolaryngology, Head and Neck Surgery, University of California Irvine, Orange, CA, USA., Merna C; Department of Otolaryngology, Head and Neck Surgery, University of California Irvine, Orange, CA, USA., Hu AC; Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, CA, USA., Foulad A; Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, CA, USA., Wong BJF; Department of Otolaryngology, Head and Neck Surgery, University of California Irvine, Orange, CA, USA.; Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, CA, USA.; Department of Biomedical Engineering, Samueli School of Engineering, University of California Irvine, Irvine, CA, USA.
Jazyk:	angličtina
Zdroj:	The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2024 Dec; Vol. 133 (12), pp. 998-1003.
DOI:	10.1177/00034894241261264
Abstrakt:	Objectives: To describe and assess the vertical sectioning technique for mid vault dissection in patients undergoing primary and secondary rhinoplasty. Methods: A retrospective review of 208 patients undergoing primary or revision rhinoplasty utilizing the vertical sectioning technique. The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered to patients pre- and post-operatively. A detailed description of the technique is presented. Results: Mean follow up was 8.59 ± 7.30 months. Spreader grafts were used in 185 patients (89%), upper lateral cartilage autospreader flaps were utilized in 16 patients (7.7%), and both spreader grafts and autospreader flaps were used in 7 patients (3.4%). Ten primary rhinoplasty patients (4.8%) and 3 revision rhinoplasty patients (4.5%) complained of functional nasal obstruction post-operatively. At time of last follow-up, there was a significant improvement in mean NOSE scores for patients receiving spreader grafts (71.2 ± 21.4-21.5 ± 2.8, P  < .001), autospreader flaps (69.2 ± 25.9-17.2 ± 21.5, P  < .001), and both (57.9 ± 35.0-26.1 ± 20.2, P  = .03). Conclusion: The vertical sectioning technique respects the anatomic, functional, and esthetic relationship of the middle vault, while maximizing cartilage preservation. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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