Modified perichondrial-periosteal flaps to camouflage nasal dorsum in rhinoplasty

Abstract Background The smooth and straight nasal dorsum is a goal after nasal hump reduction as dorsal irregularities are unexpectable and inevitable complications. The aim of this study is to evaluate modified perichondrial-periosteal flaps functionally and aesthetically to camouflage nasal dorsal...

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書目詳細資料
發表在:The Egyptian Journal of Otolaryngology
Main Authors: Ahmed Gamal Khafagy, Hesham Abdelaty El-Sersy, Ahmed Mahmoud Maarouf
格式: Article
語言:英语
出版: SpringerOpen 2021-07-01
主題:
在線閱讀:https://doi.org/10.1186/s43163-021-00127-4
實物特徵
總結:Abstract Background The smooth and straight nasal dorsum is a goal after nasal hump reduction as dorsal irregularities are unexpectable and inevitable complications. The aim of this study is to evaluate modified perichondrial-periosteal flaps functionally and aesthetically to camouflage nasal dorsal irregularities. A total of 115 patients with nasal humps were enrolled in the study. The perichondrium over the upper lateral cartilages is divided in the midline and dissected forming two laterally based flaps while the periosteum over the nasal bones is dissected superiorly. After completion of all rhinoplasty steps, the flaps were repositioned and sutured as a separate layer. Follow-up for 2 years with an assessment of irregularities of the nasal dorsum, collapse of the upper lateral cartilage, and nasal breathing. Results Aesthetically, no nasal dorsal irregularities were noticed. Also, no patients complained of nasal obstruction. Conclusion The modified perichondrial-periosteal flap is a successful technique, functionally and aesthetically. It avoids the appearance of dorsal irregularities.
ISSN:1012-5574
2090-8539