title: Upper lateral cartilage-sparing component dorsal hump reduction in primary rhinoplasty.
abstract: BACKGROUND
  Dorsal hump reduction is a critical step in rhinoplasty. Most of the reasons behind revisional procedures are related to incorrect hump reduction.
  
  
  METHODS
  The authors used a modified dorsal hump reduction method in their primary cases, the steps of which are as follows: 1) dissection of the nasal vault; 2) bilateral submucoperichondrial dissections to free the cartilaginous septum; 3) separation of the upper lateral cartilages from the cartilaginous septum; 4) partial dissection of the upper lateral cartilages from the inner surfaces of the nasal bones bilaterally; 5) separation of the bony septum from the nasal bones bilaterally; 6) reduction of the partially isolated nasal bones; 7) en bloc cartilaginous and bony septum removal. The authors have operated on 68 primary cases over a 2 year period (30 mo).
  
  
  RESULTS
  In the great majority of cases, the results were satisfactory. No revisions were performed in this patient group.
  
  
  CONCLUSIONS
  This method is a good alternative to traditional techniques in noses with a high and narrow roof, thin skin, and weak middle nasal vault. Revision could be performed more easily when required. Initially, wide noses may not seem good candidates for this procedure; however, careful case-based preoperative planning may overcome this difficulty.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Mersin University, Medical School, Mersin, Turkey. arslane@mersin.edu.tr
authors.forename: Emrah
authors.initials: E
authors.lastname: Arslan
authors.forename: Alper
authors.initials: A
authors.lastname: Aksoy
mesh_terms: D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D017060:Patient Satisfaction; D012225:Rhinoplasty / Q000379:methods*