Correction of Deviated Nose: Importance of Rasping of Non-affected Side Nasal Bone Flap and Trimming of Non-affected Side Dorsal Septum.
- Author:
Ki Hwan HAN
1
;
Min Jae LEE
;
Jun Hyung KIM
;
Hyun Ji KIM
;
Dae Gu SON
Author Information
1. Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea. khh@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Deviated nose;
Rasping of convex nasal bone flap;
Trimming of convex dorsal septum
- MeSH:
Cartilage;
Humans;
Nasal Bone*;
Nose*;
Osteotomy;
Transplants
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2005;32(6):710-716
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A total of 21 patients were operated. Via a columellar labial incision, the upper lateral cartilages were separated from the septum. A submucous resection of the septal cartilage was carried out. After rasping the convex lateral nasal wall of the unaffected side, a low-to-low lateral nasal osteotomy was conducted. Along the deviated dorsal line at the bony vault passing the submucous tunnel, a paramedian nasal osteotomy was performed. The convex side of the nasal bone flap was contoured by rasping. The convex side of the "T"-shaped dorsal septum was trimmed. A total direct septal extension graft of the septal cartilage was done and the alar cartilages were suspended to it. The postoperative results were evaluated by photogrammetric analysis processed by a "neon glow" filter in Adobe Photoshop. The distance from the nasal midline to the most deflective point at 5 levels was measured, and the proportion indices were obtained in regard to intercanthal distance. The results revealed improvement in all levels (p < 0.05), although not perfect. In summary, this technique can result in a clinically good-looking in spite of a slight deflection that still exists.
