The accordion suture technique: A modified rhinoplasty spreader flap.
Abstract
In rhinoplasties, a spreader flap is a widely used alternative to dorsal reconstruction with spreader grafts; however, it has a limited ability to provide sufficient nasal dorsal width. The upper lateral cartilage (ULC) thickness is four times thinner than a spreader graft. This report presents an accordion suture technique for the ULC that involves simple sutures which fix each ULC (3 times folded) to the septum. We performed this technique in 64 primary rhinoplasties, and the patients were followed up for approximately 18 months. The patients completed a questionnaire 12 months postoperatively, and reported marked satisfaction with the aesthetics and function. Furthermore, rhinomanometric analysis showed that nasal airway resistance (NAR) decreased significantly in the postoperative period.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 2 | |
| 시술 | rhinoplasty
|
코성형술 | dict | 1 | |
| 해부 | septum
|
비중격 | dict | 1 | |
| 해부 | spreader grafts
|
scispacy | 1 | ||
| 해부 | ULC
→ upper lateral cartilage
|
scispacy | 1 | ||
| 해부 | graft
|
scispacy | 1 | ||
| 합병증 | spreader flap
|
scispacy | 1 | ||
| 기타 | dorsal
|
scispacy | 1 | ||
| 기타 | nasal dorsal
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | nasal airway
|
scispacy | 1 |
MeSH Terms
Adult; Airway Resistance; Esthetics; Female; Follow-Up Studies; Humans; Male; Nasal Bone; Nasal Cartilages; Nasal Mucosa; Nasal Septum; Nose; Patient Satisfaction; Rhinomanometry; Rhinoplasty; Surgical Flaps; Suture Techniques; Young Adult
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