Deviated Nose Cartilaginous Dorsum Correction Using a Dorsal L-Strut Cutting and Suture Technique

Objective: A deviated nose with involvement of a severely deviated cartilaginous dorsum is a particular challenge for rhinoplasty surgeons. We applied a new approach for treating such cases, the “dorsal L‐strut cutting and suture technique,” and assessed its efficacy and the surgical outcomes. Study...

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Bibliographic Details
Published in:The Laryngoscope 2008-06, Vol.118 (6), p.981-986
Main Authors: Song, Hyung Min, Kim, Ji-Sun, Lee, Bong-Jae, Jang, Yong Ju
Format: Article
Language:English
Subjects:
Adult
Anthropometry
Biological and medical sciences
Cartilage - surgery
crooked nose
deviated nose
Humans
L-strut
Male
Medical sciences
Middle Aged
Nose Deformities, Acquired - surgery
Otorhinolaryngology. Stomatology
Postoperative Complications
Retrospective Studies
Rhinoplasty
Rhinoplasty - methods
septoplasty
Suture Techniques
Treatment Outcome
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Summary:Objective: A deviated nose with involvement of a severely deviated cartilaginous dorsum is a particular challenge for rhinoplasty surgeons. We applied a new approach for treating such cases, the “dorsal L‐strut cutting and suture technique,” and assessed its efficacy and the surgical outcomes. Study Design: Retrospective chart review. Methodss: The study population consisted of 27 patients who received the “cutting and suture technique of dorsal L‐strut” to control a severe cartilaginous dorsal deflection between February 2004 and September 2006. Two otolaryngologists who were not involved in surgeries assessed surgical outcomes. Preoperative and postoperative photographs were studied to evaluate outcomes, and anthropometric measurements were made. Postoperative complications were assessed. Results: Postoperative assessments showed that 81.5% of patients had “excellent” or “good” deviation correction. Two (7.4%) patients experienced cephalic rotation of the tips and shortening of the nasal length. There were no reports of recurrence, saddling, or infection during follow‐up. Pre‐ and postoperative anthropometric measurements showed there was no significant change in tip projection, nasal length, nasofrontal angle, or nasolabial angle. Conclusions: The dorsal L‐strut cutting and suture technique appears to be a useful method for correcting severe cephalocaudal convexity of the dorsal L‐strut in deviated noses.
ISSN:0023-852X
1531-4995
DOI:10.1097/MLG.0b013e31816b30cc