"C"자형 만곡비변형의 교정: 건측 비골판줄질(Rasping of Nasal Bone Flap)과 건측 비배측 비중격절제술(Trimming of Dorsal Septum)의 중요성
- Author(s)
- 한기환; 이민재; 김준형; 김현지; 손대구; Ki Hwan Han; Min Jae Lee; Jun Hyung Kim; Hyun Ji Kim; Dae Gu Son
- Keimyung Author(s)
- Han, Ki Hwan; Kim, Jun Hyung; Son, Dae Gu
- Department
- Dept. of Plastic Surgery (성형외과학)
- Journal Title
- 대한성형외과학회지
- Issued Date
- 2005
- Volume
- 32
- Issue
- 6
- Abstract
- A total of 21 patients were operated. Via a columellar labial incision, the upper lateral cartilages were separated from the septum. A submucous resection of the septal cartilage was carried out. After rasping the convex lateral nasal wall of the unaffected side, a low-to-low lateral nasal osteotomy was conducted. Along the deviated dorsal line at the bony vault passing the submucous tunnel, a paramedian nasal osteotomy was performed. The convex side of the nasal bone flap was contoured by rasping. The convex side of the "T"-shaped dorsal septum was trimmed. A total direct septal extension graft of the septal cartilage was done and the alar cartilages were suspended to it. The postoperative results were evaluated by photogrammetric analysis processed by a "neon glow" filter in Adobe Photoshop. The distance from the nasal midline to the most deflective point at 5 levels was measured, and the proportion indices were obtained in regard to intercanthal distance. The results revealed improvement in all levels (p < 0.05), although not perfect. In summary, this technique can result in a clinically good-looking in spite of a slight deflection that still exists.
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