Author/Editor     Kalogjera, Livije; Bedeković, Vlado; Baudoin, Tomislav; Ivkić, Mirko
Title     Modified alar swing technique for correction of rhinolordosis
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 43, št. Suppl 3
Publication year     2004
Volume     str. 345-8
Language     eng
Abstract     The authors describe their own modification of the alar swing procedure, which uses flaps of lateral crura of the lower lateral cartilages for the correction of rhinolordosis. Pedicled flaps of the cephalic portions of lateral crura are used as a dorsal septal strut. Reconstruction is done using the open rhinoplasty approach. Pedicled flaps of the cephalic portions of lateral crura are transfixed in the sagittal plane and, following separation of the upper lateral cartilages and medial crura, placed on the dorsum of the nasal septum. Upper laterals are sutured to this newly formed cartilaginous dorsum, or a new bridge is created using conchal cartilage. Columellar strut may be sutured between the medial crura. This technique was used in 19 patients with iatrogenic or posttraumatic rhinolordosis. The long-term postoperative follow-up indicated adequate functional and esthetic results in most of the patients.
Descriptors     NOSE DEFORMITIES, ACQUIRED
RHINOPLASTY