J Korean Soc Plast Reconstr Surg.
2005 Nov;32(6):710-716.
Correction of Deviated Nose: Importance of Rasping of Non-affected Side Nasal Bone Flap and Trimming of Non-affected Side Dorsal Septum
- Affiliations
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- 1Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea. khh@dsmc.or.kr
Abstract
- A total of 21 patients were operated. Via a columellar labial incision, the upper lateral cartilages were separated from the septum. A submucous resection of the septal cartilage was carried out. After rasping the convex lateral nasal wall of the unaffected side, a low-to-low lateral nasal osteotomy was conducted. Along the deviated dorsal line at the bony vault passing the submucous tunnel, a paramedian nasal osteotomy was performed. The convex side of the nasal bone flap was contoured by rasping. The convex side of the "T"-shaped dorsal septum was trimmed. A total direct septal extension graft of the septal cartilage was done and the alar cartilages were suspended to it. The postoperative results were evaluated by photogrammetric analysis processed by a "neon glow" filter in Adobe Photoshop. The distance from the nasal midline to the most deflective point at 5 levels was measured, and the proportion indices were obtained in regard to intercanthal distance. The results revealed improvement in all levels (p < 0.05), although not perfect. In summary, this technique can result in a clinically good-looking in spite of a slight deflection that still exists.
