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The Composite Spreader Flap
- Source :
- Aesthetic surgery journal. 39(2)
- Publication Year :
- 2018
-
Abstract
- Background The effect of a spreader flap on the keystone area and the upper bony vault depends on the structural strength and cephalic extent of upper lateral cartilages, both of which can be significantly variable among individuals. Objectives The authors present a novel cephalically extended osseocartilaginous composite spreader flap technique that was designed to overcome the limitations of a conventional spreader flap on the keystone area upper bony vault, in patients with cephalically short and structurally weak upper lateral cartilages and thin nasal bones. Methods This study was a retrospective review of the recorded perioperative information to investigate the frequency of the use of the composite spreader flap technique and perioperative parameters that relate to postoperative dorsal deformities. One-hundred-seventy-six consecutive primary open approach rhinoplasty cases performed by the first author (O.B.) between November 2015 and February 2017 were included in the study. Patient data were obtained from rhinoplasty data sheets, standardized photographs, and postoperative physical examinations. Results Of the 176 cases who underwent primary open approach rhinoplasty whose data were reviewed for the purpose of this study, 38 (32 females, 6 males) had dorsal reconstruction with the use of a composite spreader flap. Seventeen patients had a deviated nose with an asymmetric bony pyramid. In 8 patients, the composite spreader flap was used unilaterally. No patients in the composite spreader flap group had a postoperative dorsal deformity or required surgical revision. Conclusions Composite flap preparation extends the reliability and the reach of the spreader flap technique beyond its previous borders. Level of Evidence: 4
- Subjects :
- Adult
Male
Reoperation
Adolescent
Esthetics
medicine.medical_treatment
030230 surgery
Osteotomy
Surgical Flaps
Rhinoplasty
03 medical and health sciences
Young Adult
0302 clinical medicine
Postoperative Complications
Nasal Cartilages
medicine
Deformity
Humans
In patient
Nasal Bone
Nose
Retrospective Studies
Orthodontics
business.industry
Nose Deformities, Acquired
Reproducibility of Results
General Medicine
Perioperative
Nasal bone
medicine.anatomical_structure
Treatment Outcome
Feasibility Studies
Surgery
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 1527330X
- Volume :
- 39
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Aesthetic surgery journal
- Accession number :
- edsair.doi.dedup.....a025d77cab66f992a88057e54864f760