Avoiding irregularities on the nasal dorsum in rhinoplasty.
Palpable irregularities along the nasal dorsum are a frequent complication of dorsal handling in rhinoplasty because resection techniques are used. This is often a result of improper management of the dorsum after resection. The surgical technique for handling of dorsal irregularities following dorsal resection is described. The key steps to avoid irregularities are diamond rasps, autospreader and morselized cartilage as camouflage. Following resection of the hump, the anatomy of the nasal dorsum should be adequately restructured; thereby we achieve an adequate aesthetic result and ideally preventing irregularities on palpation.
Servicio Otorrinolaringología, Hospital San Vicente de Arauco, Concepción, Chile. Address: 0677 South West, Lowell Street, Portland, Oregon, USA. Email: fjcasanueva@gmail.com.
Fernando Javier
FJ
Casanueva
Servicio Otorrinolaringología, Hospital San Juan de Dios, Universidad de Chile, Santiago, Chile; Servicio Otorrinolaringología, Clínica Las Condes, Santiago, Chile.
Felipe
F
Cardemil
D006801:Humans; D055171:Nasal Cartilages / Q000601:surgery*; D009666:Nose / Q000601:surgery*; D012225:Rhinoplasty / Q000295:instrumentation / Q000379:methods*
irregularities; nasal dorsum; rhinoplasty