Document Detail


Management of the middle nasal third in revision rhinoplasty.
MedLine Citation:
PMID:  18951320     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The middle nasal third is often the source of both aesthetic and functional problems with primary rhinoplasty. Weakness of the middle nasal vault can occur from overresection of the upper lateral cartilages or cartilaginous nasal septum, malposition of the upper lateral cartilages, or from secondary scarring from the primary rhinoplasty. These functional and aesthetic problems can be avoided by maintaining an adequate infrastructure to the middle nasal vault. If secondary problems occur in the middle nasal third, precise anatomic reconstruction can be performed in the form of cartilage grafting and/or suture reconstitution. This reconstruction requires an in-depth knowledge of the functional nasal anatomy and the ability to re-create the infrastructure so that it withstands the forces of scarring and wound contraction. This article outlines the anatomy of the middle third of the nose, the conditions that cause secondary middle-third problems, and the surgical management of these deformities.
Authors:
Jonathan M Sykes
Publication Detail:
Type:  Journal Article     Date:  2008-10-24
Journal Detail:
Title:  Facial plastic surgery : FPS     Volume:  24     ISSN:  0736-6825     ISO Abbreviation:  Facial Plast Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-10-27     Completed Date:  2008-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405303     Medline TA:  Facial Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  339-47     Citation Subset:  D    
Affiliation:
Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, Davis Medical Center, Sacramento, California 95817, USA. jonathan.sykes@ucdmc.ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Cartilage / transplantation
Cicatrix / surgery
Esthetics
Female
Humans
Nasal Cartilages / anatomy & histology,  surgery
Nasal Obstruction / surgery
Nasal Septum / anatomy & histology,  surgery
Nose / anatomy & histology,  surgery*
Nose Deformities, Acquired / pathology,  surgery
Postoperative Complications / surgery
Reoperation
Rhinoplasty / methods*
Suture Techniques

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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