Septoplasty Through Dorsal Approach

비배부 접근법을 통한 비중격 성형술

  • Gwon, Yong-Seok (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Lee, Keun-Cheol (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Jeong, Ki-Hwan (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Han, Jae-jung (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Park, Jung-min (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kim, Seok-Kwun (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Park, Si-Hyun (ZISES Plastic Clinic) ;
  • Kim, Ju-Heon (ZISES Plastic Clinic)
  • 권용석 (동아대학교 의과대학 성형외과학교실) ;
  • 이근철 (동아대학교 의과대학 성형외과학교실) ;
  • 정기환 (동아대학교 의과대학 성형외과학교실) ;
  • 한재정 (동아대학교 의과대학 성형외과학교실) ;
  • 박정민 (동아대학교 의과대학 성형외과학교실) ;
  • 김석권 (동아대학교 의과대학 성형외과학교실) ;
  • 박시현 (지세스 성형외과) ;
  • 김주헌 (지세스 성형외과)
  • Received : 2004.07.23
  • Published : 2005.01.10

Abstract

Septal deviations interfere with the nasal airflow and contribute to the deformities in the external appearance of the nose. An aesthetically and functionally satisfactory correction of severe septal deformities often requires temporary intraoperative removal of the septal cartilage for appropriate remodeling. This article describes septoplasty through dorsal approach for the correction of septal deviation. From March 2001 to April 2004, the author performed septoplasty through dorsal approach for the correction of septal deviations on 45 patients, of whom 22 of whom had nasal obstruction. Open rhinoplasty was used for dorsal approach in all patients and operation was performed under the general anesthesia or local anesthesia. The follow-up period of the patients ranged from 3 to 15 months with a mean of 10 months, and postoperative results were quite satisfactory. There was neither incidences of patients' complaints, nor any complications such as hematoma, septal perforation, supratip deformity, or recurrence. And there was some improvement of nasal obstruction in 15 patients. In conclusion, Septoplasty through dorsal approach is an effective method for the correction of septal deviation and improvement of the nasal airway obstruction.

Keywords

Acknowledgement

Supported by : 동아대학교

References

  1. Benito Vilar-Sancho: Rhinoseptoplasty. Aesth Plast Surg 8: 61, 1984 https://doi.org/10.1007/BF01575246
  2. Min YG, Jung HW, Kim CS: Prevalence study of nasal septal deformities in Korea: Results of nationwide survey. Rhinology 33: 61, 1995
  3. Maran AG: Septoplasty. J Laryngol Otol 88: 393, 1974 https://doi.org/10.1017/S0022215100078865
  4. Killian G: Die submucose Fensterrdsektion der NasenScheidewand. Arch Lar Rhinol 4: 61, 1904
  5. Cottle MH, Loring RM: Corrective surgery of the external nasal pyramid and the nasal septum for restoration of normal physiology. J Illionis Med 90:119, 1946
  6. Converse JM: Reconstructive Plastic Surgery. W.B. Saunders Co., Philadelphia, 1977, p 1101
  7. Mckinney P: Investigation of the control of cartilage shape in situ in the rabbit ear. Plast Reconstr Surg 60: 429, 1977 https://doi.org/10.1097/00006534-197760030-00018
  8. Converse JM: Corrective surgery of nasal deviation. Arch. Otolaryngol 52: 671, 1950 https://doi.org/10.1001/archotol.1950.00700030697001
  9. Rees TD: Aesthetic Plastic Surgery. 2nd ed, Philadelphia, W.B. Saunders Co., 1986, p 301
  10. Malinia JW: Role of the septum in rhinoplasty, Arch. Otolaryng 48: 189, 1946
  11. Choi JY, Lee JS, Kim JJ, Ha BJ, Shin MS: Correction of deviated nose using reverse swingin door procedure. J Korean Soc Plast Reconstr Surg 109: 1107, 1999
  12. Lee SH, Hong SH, Kim J: Reconstruction of nasal deformities by L-shaped nasal septal cartilage. J Korean Soc Plast Reconstr Surg 29: 389, 2002
  13. Yoo YC, Kim DH: Effectiveness of decortication septorhinoplasty via external approach. J Korean Soc Plast Reconstr Surg 29: 23, 2002