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KMID : 0900220220290010001
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대한비과학회지
2022 Volume.29 No. 1 p.1 ~ p.12
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Dissection Manual for Open Rhinoseptoplasty in a Silicone Nose Model
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Lee Ki-Il
Won Tae-Bin
Hyun Sang-Min
Song Hyung-Min
Jang Yong-Ju
Choi Ji-Yun
Hong Seung-No
Kim Hyo-Yeol
Kim Ji-Sun
Kim Soo-Whan
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Abstract
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Open rhinoseptoplasty has been widely performed in the field of otorhinolaryngology. However, from the perspective of beginners, rhinoseptoplasty is a hard-to-learn surgery that involves a relatively steep learning curve. Therefore, practical guidance is essential to enhance the skills needed for excellent surgical outcomes. Here, we provide a step-wise dissection manual using a commercialized silicone nose model designed for rhinoseptoplasty. The contents include general approaches with regard to transcolumellar inverted V incision, flap elevation, osteotomy, septoplasty, modification of the lower lateral cartilage for tip surgery, and dorsal augmentation using silicone implants. In addition, we introduce novel techniques such as dorsal augmentation using a ready-made mold with tissue glue applied to diced cartilage and polycaprolactone mesh for rhinoseptoplasty. The present study also provides photos of individual surgical procedures using a silicone nose model for actual guidance. The authors expect that this manual will help beginning rhinoseptoplasty surgeons improve their confidence.
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KEYWORD
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Rhinoplasty, Dissection, Methods, Nose, Silicones
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