Surgical Treatment of Alar Insufficiency by Means of Rotation of Lateral Ramus of Alar Cartilage
Authors:
P. Schalek
Authors place of work:
ORL klinika 3. LF UK a FN Královské Vinohrady, Praha
přednosta doc. MUDr. A. Hahn, CSc.
Published in the journal:
Otorinolaryngol Foniatr, 58, 2009, No. 1, pp. 15-18.
Category:
Original Article
Summary
Alar insufficiency represents a functional and cosmetic dysfunction decreasing the quality of life of the patients. In the surgical treatment methods using grafts of autologous cartilage are used as well as surgical procedures, where the lateral ramus of alar cartilage is relocated and fixed by a suture.
The observed group of 12 patients was operated on by the method of cranial rotation of lateral ramus of alar cartilage. The results were evaluated immediately and 6 months after the surgery by subjective feelings of the patients as well as by objective examination of the nostril width in enforced intake of breath.
All patients declared an improved state immediately after the surgery. Six months later two patients evaluated the condition as the same as before the operation. The average nostril width in enforced intake of breath was 1.75 mm before the operation and 6.60 mm six months after the surgery. The method of cranial rotation of lateral ramus of alar cartilage represents an effective way of surgical treatment of alar insufficiency especially in patients, where there is not any marked damage to alar cartilage from previous injury or surgical intervention.
Key words:
alar insufficiency, external nasal valve, rhinoplasty
Zdroje
1. Bottini, D. J., Gentile, P., Arpino, A. et al.: Reconstruction of the nasal valve. J. Craniofac. Surg.,18, 2007, s. 516-519.
2. Fokkens, W. J., Nolst-Trenité, G. J.: Batten grafts for nasal valve collapse. In: Nolst-Trenité G. J. ( ed.): Rhinoplasty - third edition. The Hague, Kugler Publications, 2005, s. 321-328.
4. Friedman, M., Ibrahim, H., Syed, Z.: Nasal valve suspension: an improved, simplified technique for nasal valve collapse. Laryngoscope, 113, 2003, s. 381-385.
5. Gruber, R. P., Kryger, G., Chang, D.: The intercartillaginous graft for actual and potentional alar retraction. Plast. Reconstr. Surg., 121, 2008, s. 288-296.
6. Gruber, R. P., Nahai, F., Bogdan, M. A. Friedman, R.: Changing the convexity and the concavity of nasal cartilages and cartilage grafts with horizontal mattress suture: Part II. Clinical results. Plast. Reconstr Surg., 115, 2005, s. 595-606.
7. Gunter, J. P., Friedman, R. M.: Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast. Reconstr. Surg., 99, 1997, s. 953-955.
8. Hommerich, C. P.: The lateral rhinopexy:results of an alternative technique to treat nasal valve collapse. Otorhinolaryngol Nova, 11, 2001, s. 162-167.
9. Menger, D. J.: Lateral crus pull-up,A method for collapse of external nasal valve. Arch. Facial. Plast. Surg., 8, 2006, s. 333-337.
10. Nolst-Trenité, G. J.: Alar insufficiency surgery. In: Nolst-Trenité G. J. (ed.): Rhinoplasty - third edition. The Hague, Kugler Publications, 2005, s. 67-74.
11. Paniello, R. C.: Nasal valve suspension: an effective treatment for nasal valve collapse. Arch. Otolaryngol. Head Neck Surg., 122, 1996, s. 1342-1346.
12. Park, S. S.: The flaring suture to augment the repair of the dysfunctional nasal valve. Plast. Reconstr. Surg., 101, 1998, s. 120-122.
13. Rettinger, G, Masing, H.: Rotation of the air cartilage in collapsed ala. Rhinol., 19, 1981, s. 81-86.
14. Rohrich, R. J., Adams, W. P.: The boxy nasal tip: Classification and management based on alar cartilage suturing techiques. Plast. Reconstr. Surg., 107, 2001, s. 1864-1886.
15. Turegun, M., Acarturk, T. O., Ozturk, S. et al.: Aesthetic and functional restoration using dorsal saddle shaped Medpor implant in secondary rhinoplasty, Ann. Plast. Surg., 60, 2008, s. 600-603.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2009 Číslo 1
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