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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2005, Number 1

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Cir Plast 2005; 15 (1)

Remodeling nasal hump reinsertion in nasal back descent

Cuenca PJ, Álvarez DCJ

Language: Spanish
References: 21
Page: 9-17
PDF size: 144.92 Kb.


ABSTRACT

The reduction of the nasal back, invariably involves the separation of the superior lateral cartilages of the nasal septum; with formation of adherences, knitted fibromucosous and retractile scars in which cartilages, mucous and skin are involved. Traditional rhinoplasty does not restore the normal architecture of the nasal back, in spite of the medial mobilization of the lateral walls and can cause unfavorable cosmetic and functional results. With Skoog type rhinoplasty, the hump of the nasal is dried up and once remodeled is placed back as in a free implant. With this technique the open roof is avoided, having knitted fibromucosous and a back of natural aspect is obtained. Skoog type rhinoplasty was used in 92 patients: in 84% the objectives of the surgery were fulfilled satisfactorily. 16% had unsatisfactory results, one for open roof, five for partial absorption of the implant and irregularities in the nasal back due to the presence of spiculs and retractions, four for dislocation of the implant, two for total loss of the implant and three for residual hump. To use the remodeled hump as an implant in surgery for descent of the nasal back turns out to be a complex procedure subject to complications, but once it is mastered it is simple and effective and it allows the normal anatomy of the back to be restored, avoids tissues collapse and the appearance of retractions with knitted fibromucosous tissue.


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