Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Correction of Deviated Nose: Importance of Rasping of Non-affected Side Nasal Bone Flap and Trimming of Non-affected Side Dorsal Septum

"C"자형 만곡비변형의 교정: 건측 비골판줄질(Rasping of Nasal Bone Flap)과 건측 비배측 비중격절제술(Trimming of Dorsal Septum)의 중요성

  • Han, Ki Hwan (Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Lee, Min Jae (Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Kim, Jun Hyung (Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Kim, Hyun Ji (Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Son, Dae Gu (Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine)
  • 한기환 (계명대학교 의과대학 성형외과학교실) ;
  • 이민재 (계명대학교 의과대학 성형외과학교실) ;
  • 김준형 (계명대학교 의과대학 성형외과학교실) ;
  • 김현지 (계명대학교 의과대학 성형외과학교실) ;
  • 손대구 (계명대학교 의과대학 성형외과학교실)
  • Received : 2005.08.09
  • Published : 2005.11.10
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Abstract

A total of 21 patients were operated. Via a columellar labial incision, the upper lateral cartilages were separated from the septum. A submucous resection of the septal cartilage was carried out. After rasping the convex lateral nasal wall of the unaffected side, a low-to-low lateral nasal osteotomy was conducted. Along the deviated dorsal line at the bony vault passing the submucous tunnel, a paramedian nasal osteotomy was performed. The convex side of the nasal bone flap was contoured by rasping. The convex side of the "T"-shaped dorsal septum was trimmed. A total direct septal extension graft of the septal cartilage was done and the alar cartilages were suspended to it. The postoperative results were evaluated by photogrammetric analysis processed by a "neon glow" filter in Adobe Photoshop. The distance from the nasal midline to the most deflective point at 5 levels was measured, and the proportion indices were obtained in regard to intercanthal distance. The results revealed improvement in all levels (p < 0.05), although not perfect. In summary, this technique can result in a clinically good-looking in spite of a slight deflection that still exists

Keywords

References

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