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

@article{citeulike:2867621, abstract = {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.}, address = {From the Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.}, author = {Song, Hyung M. and Kim, Ji-Sun S. and Lee, Bong-Jae J. and Jang, Yong J.}, citeulike-article-id = {2867621}, citeulike-linkout-0 = {http://dx.doi.org/10.1097/MLG.0b013e31816b30cc}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/18364593}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=18364593}, day = {24}, doi = {10.1097/MLG.0b013e31816b30cc}, issn = {0023-852X}, journal = {The Laryngoscope}, keywords = {rhinoplasty}, month = {March}, posted-at = {2008-06-05 21:18:02}, priority = {2}, title = {Deviated Nose Cartilaginous Dorsum Correction Using a Dorsal L-Strut Cutting and Suture Technique.}, url = {http://dx.doi.org/10.1097/MLG.0b013e31816b30cc}, year = {2008} }

TY - JOUR ID - citeulike:2867621 L3 - citeulike-article-id:2867621 N2 - 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. JF - The Laryngoscope SN - 0023-852X AD - From the Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. TI - Deviated Nose Cartilaginous Dorsum Correction Using a Dorsal L-Strut Cutting and Suture Technique. KW - rhinoplasty AU - Song, Hyung AU - Kim, Ji-Sun AU - Lee, Bong-Jae AU - Jang, Yong PY - 2008/03/24/ UR - http://dx.doi.org/10.1097/MLG.0b013e31816b30cc ER -