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KMID : 0358820050320060710
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2005 Volume.32 No. 6 p.710 ~ p.716
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Correction of Deviated Nose: Importance of Rasping of Non-affected Side Nasal Bone Flap and Trimming of Non-affected Side Dorsal Septum.
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Han Ki-Hwan
Lee Min-Jae
Kim Jun-Hyung
Kim Hyun-Ji
Son Dae-Gu
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Abstract
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A total of 21 patients were operated. Via a columellar labial incision, the upper lateral cartilages were separated from the septum. A submucous resection of the septal cartilage was carried out. After rasping the convex lateral nasal wall of the unaffected side, a low-to-low lateral nasal osteotomy was conducted. Along the deviated dorsal line at the bony vault passing the submucous tunnel, a paramedian nasal osteotomy was performed. The convex side of the nasal bone flap was contoured by rasping. The convex side of the "T"-shaped dorsal septum was trimmed. A total direct septal extension graft of the septal cartilage was done and the alar cartilages were suspended to it. The postoperative results were evaluated by photogrammetric analysis processed by a "neon glow" filter in Adobe Photoshop. The distance from the nasal midline to the most deflective point at 5 levels was measured, and the proportion indices were obtained in regard to intercanthal distance. The results revealed improvement in all levels (p < 0.05), although not perfect. In summary, this technique can result in a clinically good-looking in spite of a slight deflection that still exists.
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KEYWORD
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Deviated nose, Rasping of convex nasal bone flap, Trimming of convex dorsal septum
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