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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:   (120 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 cardinal procedures during rhinoplasty operation. Some cases of primary rhinoplasty lead to various post-operative nasal imperfections. One of the most common imperfections are dorsal nasal spur which can cause dorsal irregularities. The accurate rate of imperfections relates to some factors like surgeon’s experience and his/her precision, and appropriate post-operative patient care. A 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 effectiveness of this device in one patient. This simple but very effective instrument can be an alternative for a revision rhinoplasty procedure in operating room to an OPD procedure with local anesthesia. This method have been used in one patient with satisfactory result, permitting corrections of minor cartilageous excess deformities, with  less invasive procedure.
Keywords: Closed nasal chondrotome, Revision rhinoplasty, Dorsal spur
Full-Text [PDF 784 kb]   (29 Downloads)    
Type of Study: case report | Subject: Special
Received: 2015/01/2 | Accepted: 2018/04/24 | Published: 2018/04/24
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Manafi A, Hamedi Z S, Manafi F. Introduction of a Less Invasive Revision Rhinoplasty Using Closed Nasal Chondrotome. wjps. 2018; 7 (2)
URL: http://wjps.ir/article-1-139-en.html


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مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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