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.


METHODS
Retrospective chart review.


METHODS
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.
Song
Hyung Min
HM
Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
Kim
Ji-Sun
JS
Lee
Bong-Jae
BJ
Jang
Yong Ju
YJ
D000328:Adult; D000886:Anthropometry; D002356:Cartilage / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009667:Nose Deformities, Acquired / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques; D016896:Treatment Outcome