Rhinoplasty by Rollin K. Daniel & Péter Pálházi

Author:Rollin K. Daniel & Péter Pálházi
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

4.Relocation of caudal septum L to R, an 8-mm movement.

5.Medial oblique osteotomies. R: double level osteotomies; L: low-to-low.

6.Insertion of columellar strut. Tip suture: DE. Fascia graft to dorsum.

Commentary: At 2 years postop, the straight-line septal deviation has been corrected by caudal septal relocation. The changes in the columellar and nostril shape are dramatic (Fig. 4.23). In addition to correcting the septal deviation, the straightness of the nose is due to changes in the osseocartilaginous vault. First, the double-level osteotomy on the right side corrected the intrinsic convexity of the right lateral bony wall. Second, the cartilage vault was equalized with asymmetric spreader grafts (R 2.2 mm, L 1.2 mm).

Fig. 4.23(a–j) Patient in case study, before (left) and 2 years after (right) surgery to correct her crooked nose

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