J Korean Soc Aesthetic Plast Surg Search

CLOSE


Journal of the Korean Society for Aesthetic Plastic Surgery 2010;16(3):111-116.
Published online October 1, 2010.
Septorhinoplasty: Endoscopic Approach and Reinforcement of Nasal Support Line.
Eun Sang Dhong
Department of Plastic Surgery, Korea University College of Medicine, Ansan, Korea. prsdhong@kumc.or.kr
Abstract
Septorhinoplasty in Asians is very challenging in terms of shortage of septal cartilage. Many cases in correction of dorsal and caudal septal deformities requires septal surgery including cartilaginous graft. Septoplasty is a well-known procedure which preserves majority of quadrangular cartilage, however, it is hardly adopted in Asians. The preoperative evaluation is accomplished using nasal endoscopy. The posterior and inferior chondrotomy for septal swinging-door procedure can be performed under endoscopic view. Also, the precise amount of bony spur and excessive cartilage can be excised. Endoscopy is also indispensable to precise hemostasis and turbinoplasty. Asian septoplasty is usually performed with maximal central submucous resection leaving critical L-strut, because surgeons need as much cartilages as possible for proper graft. In caudal septum, posterior septal angle loses its integrity after swinging-door procedure, and also loses the tip projection. This should be reinforced. Furthermore, in patients who have weak septal cartilage, key stone area needs to be reinforced by unilateral or bilateral spreader graft at the same time. Proper bilateral strut at the posterior septal angle continuous with spreader graft at rhinion may confirm the newly made solid L-strut. This solid caudal septum will be the new nasal base for the next tip plasty.
Key Words: Rhinoplasty, Endoscopy, Nasal cartilages, Nasal septum
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 89 View
  • 0 Download
Related articles in AAPS


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-3472-4243    Fax: +82-2-3472-4254    E-mail: ksaps@ksaps.or.kr                

Copyright © 2019 by Korean Society for Aesthetic Plastic Surgery. All rights reserved.

Developed in M2community

Close layer
prev next