Versatile Approach to Septonasal Deformity: Skyscraper Construction Based on an Old Relic
| Autor: | Recep Anlatici, Omer R. Ozerdem, Sarp Demiralay |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Nostril Esthetics Dental Nose 03 medical and health sciences 0302 clinical medicine Nasal Cartilages Deformity medicine Humans Displacement (orthopedic surgery) In patient 030223 otorhinolaryngology Nasal Septum Retrospective Studies business.industry Cartilage Retrospective cohort study 030206 dentistry General Medicine Rhinoplasty Skeleton (computer programming) Reconstruction method Surgery medicine.anatomical_structure Otorhinolaryngology medicine.symptom business |
| Zdroj: | The Journal of craniofacial surgery. 32(5) |
| ISSN: | 1536-3732 |
| Popis: | INTRODUCTION Severely deformed noses usually harbor a combination of both bony pyramid and septal deformities. In this retrospective study, the authors aimed to evaluate our results of repair in patients with severe nasal deformities and importance of a versatile approach in these cases. MATERIALS AND METHODS A total of 32 cases with congenital or acquired (traumas or surgeries) severe nasal deformity were included in this retrospective study. Gender, age, etiology, reconstruction methods, complications, and results were recorded. Preoperative and postoperative pictures were compared; additionally, patients' reviews on the esthetic and functional outcomes were noted. Open approach, weak L-strut template preparation attached to a strong keystone skeleton and reconstruction with a stable L- or T-strut on this template were carried out in all cases. In addition, glabellar flaps were used in 2 cases to restore the contracted skin envelope and wide-angle L-shape cartilage grafts in 7 cases for extensive alar cartilage reconstruction. RESULTS Favorable esthetic and functional results were obtained in most of the patients. The postoperative problems were recorded as intranasal synechiae; costochondral graft displacement; residual external deviation; nostril asymmetry; residual alar, columellar and tip problems; and prolonged edema. CONCLUSIONS Sufficient sizes and amounts of skin, mucosa, cartilage, and bone tissue must be available to plan versatile repair using flaps and grafts according to the needs of each patient. Preserved stability of the keylock area is substantial. The authors advocate construction of a new structure based on the native weakened skeleton free from the extrinsic and intrinsic forces is an effective method.EBM LEVEL 4. |
| Databáze: | OpenAIRE |
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