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Publication
Hybrid Dorsal Preservation Rhinoplasty: How We Do It
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Advisor(s)
Abstract(s)
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
Description
Keywords
Rinoplastia Rhinoplasty
Citation
Ann Plast Reconstr Surg. 2022; 6: 1088.