Research Article| Volume 60, ISSUE 2, P180-187, February 2007

Correction of the Asian deviated nose with no hump using unilateral bony mobilisation and dorsal septal suture fixation

  • Jin Sik Burm
    Tel.: +82 2 2650 5149; fax: +82 2 2651 9821.
    Department of Plastic and Reconstructive Surgery, Mokdong Hospital, Ewha Womans University, 911-1 Mok-Dong, Yangcheon-Gu, Seoul 158-710, Republic of Korea
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      A deviated nose is corrected by straight realignment and long-term maintenance of the bony and cartilaginous structure. Traditional rhinoplasty usually involves complete separation of both upper lateral cartilages from the septum and bilateral bony mobilisation after osteotomy. In the Asian deviated nose with no hump, these procedures are intrinsically destabilising and may weaken the supporting bony and cartilaginous structure. To avoid these problems, I performed unilateral bony mobilisation with anterior wedge resection and suture fixation of the dorsal septum to the nasal bone without separation of the upper lateral cartilage. This manoeuvre is simple and reproducible and produces satisfactory straightening and maintenance of the nasal dorsum while maximally preserving the structural support. Here, I describe the surgical techniques including the choice of the site of unilateral osteotomy and wedge resection, a new classification of bony deviation, two surgical modifications applied to different types of deviation and rationale of dorsal septal suture fixation. Also, clinical cases of nasal deviation are presented.


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