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:: Volume 8, Issue 1 (1-2019) ::
wjps 2019, 8(1): 108-111 Back to browse issues page
Introduction of a Less Invasive Revision Rhinoplasty Using Closed Nasal Chondrotome
Amir Manafi, Zahra Sadat Hamedi , Farzad Manafi
School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (1372 Views)
Rhinoplasty is the most common aesthetic surgical procedure in Iran.  Dorsal bony and cartilaginous structures of the nose play an important role in nasal esthetics and function. Manipulation of nasal dorsum is one of the cardinal procedures during rhinoplasty operation. Some cases of primary rhinoplasty lead to various post-operative nasal imperfections. One of the most common imperfections is dorsal nasal spur which can cause dorsal irregularities. The accurate rate of imperfections relates to some factors like the surgeon’s experience and his/her precision, and appropriate post-operative patient care. Alomost  15%of revision or secondary surgical manipulations are acceptable for an experienced plastic surgeon. Most of the revision rhinoplasties are due to minor deformities in nasal dorsum like cartilaginous spur or mild focal depression. We have introduced an innovative device “Closed Nasal Chondrotome” that can ease the procedure for treating of minor nasal dorsal deformities. we propose the use of closed nasal chondrotome for mild dorsal spurs and have presented the effectiveness of this device in one patient. This simple but very effective instrument can be an alternative for a revision rhinoplasty procedure in the operating room to an outpatient procedure with local anesthesia. This method has been used in one patient with the satisfactory result, permitting corrections of minor cartilaginous excess deformities, with a less invasive procedure.
Keywords: Closed nasal chondrotome, Revision rhinoplasty, Dorsal spur
Full-Text [PDF 787 kb]   (379 Downloads)    
Type of Study: case report | Subject: Special
Received: 2015/01/2 | Accepted: 2018/04/24 | Published: 2018/04/24
References
1. Ishida LC, Ishida J, Ishida LH, Passos AP, Ferreira MC. Power instrumentation for shaping the nasal cartilages. Ann Plast Surg 2006;56:375-9. doi: 10.1097/01.sap.0000202890.34547.00. [DOI:10.1097/01.sap.0000202890.34547.00]
2. Becker DG, Becker DG, Toriumi DM, Gross CW, Tardy ME, Jr. Powered instrumentation for dorsal reduction. Facial Plast Surg 1997;13:291-7. doi: 10.1055/s-0028-1082428. [DOI:10.1055/s-0028-1082428]
3. Cobo R. Correction of dorsal abnormalities in revision rhinoplasty. Facial Plast Surg 2008;24:327-38. doi: 10.1055/s-0028-1083086. [DOI:10.1055/s-0028-1083086]
4. Daniel RK. The nasal tip: anatomy and aesthetics. Plast Reconstr Surg 1992;89:216-24. doi: 10.1097/00006534-199202000-00002. [DOI:10.1097/00006534-199202000-00002]
5. Converse JM. The cartilaginous structures of the nose. Ann Otol Rhinol Laryngol 1955;64:220-9. doi: 10.1177/000348945506400125. [DOI:10.1177/000348945506400125]
6. Lee M, Zwiebel S, Guyuron B. Frequency of the preoperative flaws and commonly required maneuvers to correct them: a guide to reducing the revision rhinoplasty rate. Plast Reconstr Surg 2013;132:769-76. doi: 10.1097/PRS.0b013e3182a01457. [DOI:10.1097/PRS.0b013e3182a01457]
7. Adamson PA, Warner J, Becker D, Romo TJ, 3rd, Toriumi DM. Revision rhinoplasty: panel discussion, controversies, and techniques. Facial Plast Surg Clin North Am 2014;22:57-96. doi: 10.1016/j.fsc.2013.09.002. [DOI:10.1016/j.fsc.2013.09.002]
8. Neaman KC, Boettcher AK, Do VH, Mulder C, Baca M, Renucci JD, VanderWoude DL. Cosmetic rhinoplasty: revision rates revisited. Aesthet Surg J 2013;33:31-7. doi: 10.1177/1090820X12469221. [DOI:10.1177/1090820X12469221]
9. Jensen JD, Cohen JL. Nasal tip revision using a dermal graft. Dermatol Surg 2014;40:1140-2. doi: 10.1097/DSS.0000000000000122. [DOI:10.1097/DSS.0000000000000122]
10. Kasper DA, Cohen JL, Saxena A, Morganroth GS. Fillers for postsurgical depressed scars after skin cancer reconstruction. J Drugs Dermatol 2008;7:486-7.
11. Humphrey CD, Arkins JP, Dayan SH. Soft tissue fillers in the nose. Aesthet Surg J 2009;29:477-84. doi: 10.1016/j.asj.2009.09.002. [DOI:10.1016/j.asj.2009.09.002]
12. Cohen JL. Understanding, avoiding, and managing dermal filler complications. Dermatol Surg 2008;34 Suppl 1:S92-9. doi: 10.1111/j.1524-4725.2008.34249.x. [DOI:10.1111/j.1524-4725.2008.34249.x]
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Manafi A, Hamedi Z S, Manafi F. Introduction of a Less Invasive Revision Rhinoplasty Using Closed Nasal Chondrotome. wjps. 2019; 8 (1) :108-111
URL: http://wjps.ir/article-1-139-en.html


Volume 8, Issue 1 (1-2019) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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