Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Epistaxis

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Refining the SPLF Graft: Innovations in Revision Rhinoplasty.

Plastic and reconstructive surgery·2026

Same author

"Improving Aesthetic, Function and Healing Process of The Nose with The Scroll Flap".

Plastic and reconstructive surgery·2025

Same author

Preservation Concepts in Secondary Rhinoplasty: Is There Any Role?

Facial plastic surgery : FPS·2025

Same author

The Evolution of the SPF-SPLF Graft in Rebuilding the Dorsum in Revision Rhinoplasty-an Update in an Over 300 Case Series.

Aesthetic plastic surgery·2025

Same author

Trial, Error, and Expertise: My Evolution Through Structural and Preservation Rhinoplasty Techniques.

Facial plastic surgery : FPS·2025

Same author

Hybrid Dorsal Preservation Techniques.

Facial plastic surgery clinics of North America·2025

Search research articles

Related Experiment Video

Updated: Jun 24, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Hybrid Dorsal Preservation Rhinoplasty: Reediting an Aesthetic Dorsum.

Sergio Furtado¹, Enrico Robotti², Antonio Sousa Vieira³

¹Private practice, Avenida Bias Fortes 349, Belo Horizonte, Brazil. sergiofurtadodecastro@gmail.com.

Aesthetic Plastic Surgery

|June 5, 2024

Summary

This summary is machine-generated.

This study introduces a hybrid rhinoplasty technique that modifies the nasal middle vault while preserving the keystone area. This approach expands treatment options for dorsal nasal deformities, improving aesthetic outcomes.

Keywords:

Dorsal keystone area Hybrid approach Preservation Rhinoplasty Septal T Structural

More Related Videos

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants

Published on: May 23, 2020

Related Experiment Videos

Last Updated: Jun 24, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants

Published on: May 23, 2020

Area of Science:

Plastic Surgery
Rhinoplasty Techniques
Nasal Anatomy

Background:

Classical rhinoplasty techniques for nasal dorsum modification require preservation of the middle vault, limiting their application.
Existing variations of letdown and push-down procedures often leave the middle vault unmodified.
A novel hybrid approach is proposed to address these limitations.

Purpose of the Study:

To present a new hybrid rhinoplasty technique for nasal dorsum reshaping.
To expand the indications for dorsal nasal surgery beyond conventional methods.
To combine structural benefits with preservation of the keystone area.

Main Methods:

A hybrid approach involving splitting the middle vault along the septal T while preserving the dorsal and lateral keystone area.
Osteotomies and osteoplasty are utilized to modify the bony dorsum and correct asymmetries.
Septal deformities are addressed using the L-strut principle and Cottle septoplasty.

Main Results:

The technique allows for modification of the middle vault's width and symmetry.
Preservation of the chondro-osseous joint at the keystone junction is maintained.
Expanded indications include moderate bony and cartilaginous dorsal asymmetries.

Conclusions:

Hybrid Dorsal Preservation integrates concepts of structural and preservation rhinoplasty.
Splitting the septal T facilitates middle vault reshaping while preserving critical anatomical structures.
This method broadens patient suitability and enhances surgical outcomes in rhinoplasty.