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[A method for true nose lengthening]

F Carls1, U Bier, I T Jackson

  • 1Universitätsspital Zürich.

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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Plastic and reconstructive surgery·2001

A new surgical technique advances nasal lengthening for congenital or trauma-related short noses. This method involves a naso-frontal osteotomy and bone grafting, achieving good cosmetic and functional outcomes.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Otolaryngology

Context:

  • Nasal lengthening is crucial for correcting congenital short noses and post-traumatic deformities.
  • Traditional methods like onlay bone grafts may lead to resorption.
  • Craniofacial procedures offer principles for nasal advancement.

Purpose:

  • To present a modified surgical technique for nasal lengthening using a naso-frontal osteotomy and cranial bone grafts.
  • To evaluate the efficacy of this technique in patients with congenitally short noses or post-traumatic nasal shortening.

Summary:

  • A coronal incision facilitates extensive subperiosteal undermining of the nasal dorsum and piriform aperture.
  • A naso-frontal osteotomy is performed, mobilizing the nasal fragment anteriorly and caudally.

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  • Cranial bone grafts are interposed in the osteotomy gaps and secured with microplates, addressing septal deviation with septoplasty.

    • Impact:

    • This technique provides a viable solution for nasal lengthening, improving aesthetic and functional outcomes.
    • The use of cranial bone grafts aims to minimize resorption compared to onlay grafts.
    • Successful application in 11 patients demonstrates the potential of this approach in reconstructive nasal surgery.