Hybrid Dorsal Preservation Rhinoplasty: How We Do It

Detalhes bibliográficos
Autor(a) principal: Sousa-Vieira, A
Data de Publicação: 2022
Outros Autores: Machado de Carvalho, G, Milicic, D
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.26/40969
Resumo: Background: A difficult to correct dorsal K-area is a frequent cause of residual and/or recurrent dorsal hump in preservation rhinoplasty. Fragile osseocartilaginous elastic connections essential in static stability of nasal pyramid structure should be at least respected. A bulging of Upper Lateral Cartilage (ULC) caudally to this area are principal cause of cartilaginous hump, difficult to correct without damaging the stability. Aim: A hybrid method of a combination of structural surgery with preservation attitude was suggested. Methods and Material: Osseocartilaginous interconnection of DKA area (Dorsal K-Area) can be totally preserved with structural correction of the same area. An incision below of DKA interconnections, with high auto-spreader grafts instead of trimming the deformity was suggested. Conclusion: Septal T-segment could be freely excised as needed, sutured with high and low autospreader graft, as well with septum in desired position, without jeopardizing static stability of nasal pyramid. In our patients, no residual and/or recurrent hump was registered in immediate and as well in long term results
id RCAP_1066682ec0fabd43aafbfa735d7d5a69
oai_identifier_str oai:comum.rcaap.pt:10400.26/40969
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Hybrid Dorsal Preservation Rhinoplasty: How We Do ItRinoplastiaRhinoplastyBackground: A difficult to correct dorsal K-area is a frequent cause of residual and/or recurrent dorsal hump in preservation rhinoplasty. Fragile osseocartilaginous elastic connections essential in static stability of nasal pyramid structure should be at least respected. A bulging of Upper Lateral Cartilage (ULC) caudally to this area are principal cause of cartilaginous hump, difficult to correct without damaging the stability. Aim: A hybrid method of a combination of structural surgery with preservation attitude was suggested. Methods and Material: Osseocartilaginous interconnection of DKA area (Dorsal K-Area) can be totally preserved with structural correction of the same area. An incision below of DKA interconnections, with high auto-spreader grafts instead of trimming the deformity was suggested. Conclusion: Septal T-segment could be freely excised as needed, sutured with high and low autospreader graft, as well with septum in desired position, without jeopardizing static stability of nasal pyramid. In our patients, no residual and/or recurrent hump was registered in immediate and as well in long term resultsRepositório ComumSousa-Vieira, AMachado de Carvalho, GMilicic, D2022-06-07T19:31:24Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/40969engAnn Plast Reconstr Surg. 2022; 6: 1088.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-25T04:46:32Zoai:comum.rcaap.pt:10400.26/40969Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:09:34.164019Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Hybrid Dorsal Preservation Rhinoplasty: How We Do It
title Hybrid Dorsal Preservation Rhinoplasty: How We Do It
spellingShingle Hybrid Dorsal Preservation Rhinoplasty: How We Do It
Sousa-Vieira, A
Rinoplastia
Rhinoplasty
title_short Hybrid Dorsal Preservation Rhinoplasty: How We Do It
title_full Hybrid Dorsal Preservation Rhinoplasty: How We Do It
title_fullStr Hybrid Dorsal Preservation Rhinoplasty: How We Do It
title_full_unstemmed Hybrid Dorsal Preservation Rhinoplasty: How We Do It
title_sort Hybrid Dorsal Preservation Rhinoplasty: How We Do It
author Sousa-Vieira, A
author_facet Sousa-Vieira, A
Machado de Carvalho, G
Milicic, D
author_role author
author2 Machado de Carvalho, G
Milicic, D
author2_role author
author
dc.contributor.none.fl_str_mv Repositório Comum
dc.contributor.author.fl_str_mv Sousa-Vieira, A
Machado de Carvalho, G
Milicic, D
dc.subject.por.fl_str_mv Rinoplastia
Rhinoplasty
topic Rinoplastia
Rhinoplasty
description Background: A difficult to correct dorsal K-area is a frequent cause of residual and/or recurrent dorsal hump in preservation rhinoplasty. Fragile osseocartilaginous elastic connections essential in static stability of nasal pyramid structure should be at least respected. A bulging of Upper Lateral Cartilage (ULC) caudally to this area are principal cause of cartilaginous hump, difficult to correct without damaging the stability. Aim: A hybrid method of a combination of structural surgery with preservation attitude was suggested. Methods and Material: Osseocartilaginous interconnection of DKA area (Dorsal K-Area) can be totally preserved with structural correction of the same area. An incision below of DKA interconnections, with high auto-spreader grafts instead of trimming the deformity was suggested. Conclusion: Septal T-segment could be freely excised as needed, sutured with high and low autospreader graft, as well with septum in desired position, without jeopardizing static stability of nasal pyramid. In our patients, no residual and/or recurrent hump was registered in immediate and as well in long term results
publishDate 2022
dc.date.none.fl_str_mv 2022-06-07T19:31:24Z
2022
2022-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.26/40969
url http://hdl.handle.net/10400.26/40969
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Ann Plast Reconstr Surg. 2022; 6: 1088.
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1817553226328702976