Bony Fixation of the Nasal Framework

Area of Science:

• Otolaryngology
• Plastic Surgery
• Surgical Techniques

Background:

• A stable central framework is essential in nasal surgeries.
• Limited literature addresses fixation points and long-term stability.
• Septal deviations and fixation challenges are common in rhinoplasty.

Purpose of the Study:

• To highlight the prevalence of septum and fixation point issues in nasal surgeries.
• To discuss the challenges in achieving robust nasal framework fixation.
• To present suture techniques as a solution for complex fixation scenarios.

Main Methods:

• Analysis of patient cases requiring intervention on the septum or fixation points.
• Evaluation of anatomical variations impacting fixation.
• Application of suture techniques, including transcutaneous transosseous cerclage suture.

Main Results:

• 84% of patients required intervention on the septum/central framework.
• 61% of patients needed operative work on the fixation point.
• Suture techniques proved effective for complex dorsal fixation and maxillary anchoring.

Conclusions:

• Septal and fixation point interventions are frequently necessary in nasal surgery.
• Anatomical variability necessitates adaptable surgical approaches.
• Transcutaneous transosseous cerclage suture is a valuable technique for challenging nasal framework fixation.