[Flaring spreader flaps and upper lateral advancement. Modified techniques in the reconstruction of the internal nasal valve].

HNO
Jochen Wurm, M Kovacevic

Abstract

A collapse of the internal nasal valve and the formation of an inverted-V deformity represent common findings following dorsal hump removal in rhinoplasty procedures. Spreader grafts are considered as standard both in the prevention and treatment of such undesirable outcomes. The authors introduce modified surgical concepts using flaring spreader flaps and the upper lateral advancement technique to reconstruct the internal nasal valve. After mobilization of the mucosa and separation of the upper lateral cartilages from the septum also their attachments to the nasal bones are released. The cartilages then are rotated as spreader flaps into the area of the internal nasal valve and can be used as a replacement for conventional spreader grafts. By crucial modifications of commonly applied suture techniques both the contour and airway are improved. The upper lateral advancement technique is used in cases of already present inverted-V deformities. The upper lateral cartilages are mobilized in a similar fashion and serve as attachments to usual spreader grafts. Flaring spreader flaps have been used in 164 patients undergoing primary rhinoplasty procedures for dorsal hump removals, the treatment of tension noses as well as deviated nos...Continue Reading

References

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Citations

Jan 3, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·David T HarveyRobert J Loewinger
Mar 25, 2014·Annals of Saudi Medicine·Sami AlharethyManal Ahmed Bukhari

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