Editor's Note: This Manuscript was accepted for publication January 28, 2008.
Deviated Nose Cartilaginous Dorsum Correction Using a Dorsal L-Strut Cutting and Suture Technique†
Article first published online: 2 JAN 2009
Copyright © 2008 The Triological Society
Volume 118, Issue 6, pages 981–986, June 2008
How to Cite
Song, H. M., Kim, J.-S., Lee, B.-J. and Jang, Y. J. (2008), Deviated Nose Cartilaginous Dorsum Correction Using a Dorsal L-Strut Cutting and Suture Technique. The Laryngoscope, 118: 981–986. doi: 10.1097/MLG.0b013e31816b30cc
- Issue published online: 2 JAN 2009
- Article first published online: 2 JAN 2009
- deviated nose;
- crooked nose
Objective: A deviated nose with involvement of a severely deviated cartilaginous dorsum is a particular challenge for rhinoplasty surgeons. We applied a new approach for treating such cases, the “dorsal L-strut cutting and suture technique,” and assessed its efficacy and the surgical outcomes.
Study Design: Retrospective chart review.
Methodss: The study population consisted of 27 patients who received the “cutting and suture technique of dorsal L-strut” to control a severe cartilaginous dorsal deflection between February 2004 and September 2006. Two otolaryngologists who were not involved in surgeries assessed surgical outcomes. Preoperative and postoperative photographs were studied to evaluate outcomes, and anthropometric measurements were made. Postoperative complications were assessed.
Results: Postoperative assessments showed that 81.5% of patients had “excellent” or “good” deviation correction. Two (7.4%) patients experienced cephalic rotation of the tips and shortening of the nasal length. There were no reports of recurrence, saddling, or infection during follow-up. Pre- and postoperative anthropometric measurements showed there was no significant change in tip projection, nasal length, nasofrontal angle, or nasolabial angle.
Conclusions: The dorsal L-strut cutting and suture technique appears to be a useful method for correcting severe cephalocaudal convexity of the dorsal L-strut in deviated noses.