Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan 21;9(1):e3151.
doi: 10.1097/GOX.0000000000003151. eCollection 2021 Jan.

Cartilaginous Dorsum Repositioning Technique

Gorkhmaz Azimov

Cartilaginous Dorsum Repositioning Technique

Gorkhmaz Azimov. Plast Reconstr Surg Glob Open. .

Abstract

Hump (dorsum) reduction is one of the most desired outcomes of primary rhinoplasty. However, serious complications relating to the current methods exist. Reduction of the nasal spine by way of traditional rhinoplasty leads to destruction of the nasal anatomy, and reconstruction is needed for aesthetic and functional reasons. As a result, the natural anatomy of the nose becomes altered dramatically. The purpose of this study was to demonstrate that the preservation of only the cartilaginous part of the nasal dorsum was possible during hump reduction.

Methods: From September 2018 to December 2019, the author performed a total of 210 rhinoplasties using a cartilaginous dorsum repositioning technique (CDRT). Statistical analysis was also performed.

Results: CDRT resulted in relatively limited edema and more rapid patient recovery in comparison with the traditional rhinoplasty technique used. No serious complications were observed using this new technique.

Conclusions: This technique allows for the treatment of almost 90% of primary rhinoplasty patients, without destruction of the cartilaginous portion of the nasal dorsum and septum cartilage, and allows us to save nasal anatomy almost in its entirety. At the same time, we are able to obtain great aesthetic results.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Preoperative and postoperative (6 months) photographs. Nasal hump, crooked nose, dropped tip. The CDR was used to reduce the hump. Refinement of the tip was carried out by the method of subperichondrial dissection. Preoperative photographs (A–C) and postoperative photographs (D–F).
Fig. 2.
Fig. 2.
A 47-year-old man complained about nasal breathing problems and high dorsum. The CT scan findings revealed a significant s-shaped septal deviation. An endonasal approach was made; the CDRT was used to reduce the hump. The refinement of the tip was performed. The patient is shown preoperatively (A–C) and 4 months postoperatively (D–F).
Fig. 3.
Fig. 3.
Postoperative appearance of the patient 1 year after being submitted to the CDRT technique. In this case, we used the open approach. Preoperative photographs (A–C) and postoperative photographs (D–F).
See this image and copyright information in PMC

References

    1. Erol OO. The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg. 2000;105:2229–2241. - PubMed
    1. Elahi MM, Jackson IT, Moreira-Gonzalez A, et al. Nasal augmentation with Surgicel-wrapped diced cartilage: a review of 67 consecutive cases. Plast Reconstr Surg. 2003;111:1309–1318. - PubMed
    1. Reich J. The application of dermis grafts in deformities of the nose. Plast Reconstr Surg. 1983;71:772. - PubMed
    1. Baker TM, Courtiss EH. Temporalis fascia grafts in open secondary rhinoplasty. Plast Reconstr Surg. 1994;93:802. - PubMed
    1. Sheen JH. Temporoparietal free fascia grafts in rhinoplasty (discussion). Plast Reconstr Surg. 1984;74:475. - PubMed