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Updated: May 10, 2025
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Published on: August 10, 2013
Understanding Dorsal Preservation Rhinoplasty: Anatomy and Biomechanics
Monica K Rossi Meyer1, Priyesh N Patel1, Sam P Most2
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Vanderbilt University Medical Center, South Tower, 1215 21st Avenue South, Suite 7209, Nashville, TN 37232, USA.
Abstract:
Application of dorsal preservation rhinoplasty techniques requires an in-depth understanding of the underlying nasal anatomy. A key tenant of dorsal preservation rhinoplasty is maintaining the relationship between the upper lateral cartilages and nasal bones. In this study, the authors discuss the pertinent nasal anatomy, surgical approaches to the nasal septum and bony pyramid, management of blocking points, and fixation of the lowered dorsum. They also introduce a new dorsal fixation method termed the "dorsal osseocartilaginous horizontal mattress" suture developed by the senior author for application in cases of combined structural and open dorsal preservation rhinoplasty.
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