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Related Concept Videos

Sutures of the Skull01:22

Sutures of the Skull

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
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Identifying Septal Support Reconstructions for Saddle Nose Deformity: The Cakmak Algorithm.

Ozcan Cakmak1, Ismet Emrah Emre2, Fazil Emre Ozkurt3

  • 1Facial Plastic Surgeon, FACEISTANBUL Private Clinic, Istanbul, Turkey.

JAMA Facial Plastic Surgery
|September 11, 2015
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Summary

The Cakmak algorithm offers a structured approach to saddle nose deformity reconstruction, improving both nasal support and aesthetics. This method enhances patient outcomes by prioritizing framework restoration for better breathing and appearance.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Reconstruction

Background:

  • Saddle nose deformity presents significant challenges in nasal surgery due to loss of septal support.
  • Existing approaches often prioritize aesthetics over functional airway improvement.
  • Restoring the nasal framework is crucial for both functional and aesthetic outcomes.

Purpose of the Study:

  • To introduce and explain the Cakmak algorithm for saddle nose deformity reconstruction.
  • To demonstrate how the algorithm identifies optimal surgical techniques for restoring nasal support and aesthetics.
  • To provide a systematic method for addressing various types of saddle nose deformities.

Main Methods:

  • The study details the Cakmak algorithm based on the senior author's experience with 206 saddle nose deformity patients.
  • The algorithm classifies deformities into types 0-4, guiding surgical reconstruction.
  • Preoperative, intraoperative, and postoperative data, including patient-reported outcomes, were collected.

Main Results:

  • The Cakmak algorithm was applied to 206 patients, classifying their deformities from type 0 to 4.
  • Postoperative assessments showed significant aesthetic improvement in 201 patients and improved nasal breathing in 195 patients.
  • While generally successful, 3 patients experienced infection and 21 required revision surgery.

Conclusions:

  • Saddle nose reconstruction must prioritize restoring the supportive nasal framework alongside aesthetic enhancement.
  • Strengthening septal support before augmentation is key for improved breathing and long-term stability.
  • The Cakmak algorithm serves as a valuable tool for surgeons to optimize both septal support and aesthetic results in saddle nose repair.