title: The accordion suture technique: A modified rhinoplasty spreader flap.
abstract: In rhinoplasties, a spreader flap is a widely used alternative to dorsal reconstruction with spreader grafts; however, it has a limited ability to provide sufficient nasal dorsal width. The upper lateral cartilage (ULC) thickness is four times thinner than a spreader graft. This report presents an accordion suture technique for the ULC that involves simple sutures which fix each ULC (3 times folded) to the septum. We performed this technique in 64 primary rhinoplasties, and the patients were followed up for approximately 18 months. The patients completed a questionnaire 12 months postoperatively, and reported marked satisfaction with the aesthetics and function. Furthermore, rhinomanometric analysis showed that nasal airway resistance (NAR) decreased significantly in the postoperative period.
authors.affiliation: Bulent Ecevit University Medical Faculty, Department of Plastic, Reconstructive and Aesthetic Surgery, Zonguldak, Turkey. Electronic address: tahsinmd@gmail.com.
authors.forename: Tahsin
authors.initials: T
authors.lastname: Görgülü
authors.affiliation: Bulent Ecevit University Medical Faculty, Department of Anatomy, Zonguldak, Turkey.
authors.forename: Cenk Murat
authors.initials: CM
authors.lastname: Özer
authors.affiliation: Bulent Ecevit University Medical Faculty, Department of Plastic, Reconstructive and Aesthetic Surgery, Zonguldak, Turkey.
authors.forename: Eksal
authors.initials: E
authors.lastname: Kargi
mesh_terms: D000328:Adult; D000403:Airway Resistance / Q000502:physiology; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009295:Nasal Bone / Q000601:surgery; D055171:Nasal Cartilages / Q000601:surgery; D009297:Nasal Mucosa / Q000601:surgery; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000502:physiology; D017060:Patient Satisfaction; D025363:Rhinomanometry / Q000379:methods; D012225:Rhinoplasty / Q000379:methods* / Q000523:psychology; D013524:Surgical Flaps / Q000601:surgery*; D013536:Suture Techniques / Q000145:classification*; D055815:Young Adult
keywords: Accordion; Rhinoplasty; Spreader flap; Spreader graft