Extended Osteocartilaginous Spreader Graft for Reconstruction of Deviated Nose

被引:9
作者
Sadooghi, Mahmood [2 ]
Ghazizadeh, Matin [1 ]
机构
[1] Amir Alam Hosp, Otorhinolaryngol Res Ctr, Dept Otolaryngol Head & Neck Surg, Tehran, Iran
[2] Univ Tehran Med Sci, Tehran, Iran
关键词
deviated nose; medial osteotomy; rhinoplasty; spreader graft; CLASSIFICATION; BONE;
D O I
10.1177/0194599812437306
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective. Correction of a deviated nose is a challenging problem for which different approaches may be considered. This study was designed to introduce a new technique for correction of a deviated nose with a high success rate. Study Design. The study was a prospective follow-up of 59 patients with deviated nose who had undergone corrective surgery. Setting. An extended osteocartilaginous spreader graft was harvested from the quadrangular septum and the perpendicular plate of the ethmoid. After a medial osteotomy that was performed on the concave side, the nasal bone was lateralized and an extended osteocartilaginous spreader graft was inserted between the nasal bone and the septum to prevent further retraction of the concave side due to fibrotic scar tissue. On the contralateral side, a low lateral osteotomy was done as routine. Subjects and Methods. The operation was done on the 59 cases with deviated nose. The subjects were followed up during a period of 8 months to 4 years. According to physical examination, postoperative photography, and patients' satisfaction, the final results were categorized as excellent, fair, or poor. Results. Forty-eight patients (81.3%) were categorized as having excellent results. Eight patients (13.6%) showed fair improvement, while the results of surgery in only 3 patients (5.1%) were classified as poor. Conclusion. An extended osteocartilaginous spreader graft, with medial osteotomy and lateralization of the nasal bone on the concave side, is a new technique with a high success rate for correction of deviated nose.
引用
收藏
页码:712 / 715
页数:4
相关论文
共 13 条
[1]  
Ahmet S, 2009, ANN PLAST SURG, V62, P604
[2]  
Ansari K., 2008, Operative Techniques in Otolaryngology-Head and Neck Surgery, V19, P42, DOI DOI 10.1016/J.OTOT.2008.04.007
[3]   RETRACTED: A different approach to the reconstruction of the stubborn crooked nose with a different spreader graft: Nasal bone grafts harvested from the removed nasal hump (Retracted Article. See vol 33, pg 674, 2009) [J].
Emsen, I. M. .
AESTHETIC PLASTIC SURGERY, 2008, 32 (02) :266-273
[4]   Unilateral osteotomies for external bony deviation of the nose [J].
Fanous, N .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1997, 100 (01) :115-123
[5]  
Guyuron B, 2003, PLAST RECONSTR SURG, V111, P2449, DOI 10.1097/01.PRS.0000060802.70218.FE
[6]  
Guyuron B, 1999, PLAST RECONSTR SURG, V104, P2202, DOI 10.1097/00006534-199912000-00039
[7]   Key maneuvers for successful correction of a deviated nose in Asians [J].
Jin, Hong-Ryul ;
Lee, Joo-Yeon ;
Shin, See-Ok ;
Choi, Yeong-Seok ;
Lee, Dong-Wook .
AMERICAN JOURNAL OF RHINOLOGY, 2006, 20 (06) :609-614
[8]  
Oliveira Pedro Wey Barbosa de, 2006, Braz J Otorhinolaryngol, V72, P760
[9]   The deviated nose: Optimizing results using a simplified classification and algorithmic approach [J].
Rohrich, RJ ;
Gunter, JP ;
Deuber, MA ;
Adams, WP .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2002, 110 (06) :1509-1523
[10]   Mastoid bone as a new graft material in rhinoplasty [J].
Sadooghi, Mahmood ;
Kouhi, Ali .
AMERICAN JOURNAL OF RHINOLOGY & ALLERGY, 2009, 23 (06) :E42-E46