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Modified Skoog Method for Hump Reduction
Jennifer C Fuller1, Peter A Hilger2
1Department of Otolaryngology- Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Loma Linda University, 11234 Anderson Street, Room 2586A, Loma Linda, CA 92354, USA.
Abstract:
Dorsal hump reduction is a key component of rhinoplasty. Spreader grafts are the most frequently used technique; however, dorsal irregularities may result. The modified Skoog method involves removal of the osseocartilaginous dorsal hump, its modification, further reduction of the nasal dorsum, replacement of the modified dorsal segment, and suspension of the upper lateral cartilages. The dorsal segment acts as an onlay spreader graft, preserves the middle vault, closes the open roof deformity, and creates a smooth dorsal contour from radix to anterior septal angle. The modified Skoog method produces optimal functional and aesthetic outcomes in appropriately selected patients.
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