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Related Experiment Videos

Modified alar swing procedure in saddle nose correction.

Livije Kalogjera1, Vlado Bedeković, Tomislav Baudoin

  • 1Department of Otorhinolaryngology/Head and Neck Surgery, University Hospital Sestre milosrdnice, Zagreb, Croatia.

Aesthetic Plastic Surgery
|October 10, 2003
PubMed
Summary

This study presents a novel technique for saddle nose reconstruction using pedicled flaps of lateral crura as a dorsal septal strut. This method offers improved profile augmentation compared to traditional dorsal onlay techniques.

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ASSOCIATION BETWEEN SYMPTOM SEVERITY AND INTENSITY OF ACUTE PSYCHOLOGICAL DISTRESS IN NEWLY DIAGNOSED PATIENTS WITH CHRONIC RHINITIS AND CHRONIC RHINOSINUSITIS.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Biomaterials Science

Background:

  • Saddle nose reconstruction presents challenges including long-term stability, infection, extrusion, and resorption.
  • Current techniques often involve autogenous or alloplastic materials with associated morbidities.
  • Dorsal onlay grafts are limited in augmentation, particularly for significant profile deficits.

Purpose of the Study:

  • To introduce and evaluate a novel surgical technique for saddle nose reconstruction.
  • To assess the efficacy of using pedicled flaps of lateral crura as a dorsal septal strut.
  • To compare this technique with traditional dorsal onlay methods for profile augmentation.

Main Methods:

  • Open rhinoplasty approach utilized for reconstruction.

Related Experiment Videos

  • Pedicled flaps from cephalic portions of lateral crura are fashioned into a dorsal septal strut.
  • Flaps are transfixed, placed on the nasal septum, and secured.
  • Upper lateral cartilages are sutured to the new cartilaginous dorsum or a conchal cartilage bridge.
  • Columellar strut can be fashioned from septal cartilage.

    • Main Results:

    • Successful reconstruction in 15 patients.
    • Demonstrated good long-term functional and aesthetic outcomes.
    • Achieved greater profile line increase compared to dorsal onlay techniques.

    Conclusions:

    • Pedicled flaps of lateral crura offer a viable and effective option for saddle nose reconstruction.
    • This technique provides superior profile augmentation and long-term stability.
    • It addresses limitations associated with conventional reconstructive materials and methods.