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Glushko A.V.

Sechenov First Moscow State Medical University;
Institute of Plastic Surgery and Cosmetology

Gammadaeva S.Sh.

Russian University of Medicine

Gordeeva K.M.

Sechenov First Moscow State Medical University;
Institute of Plastic Surgery and Cosmetology

Lebedeva Yu.V.

Saint Petersburg State Pediatric Medical University

Manturova N.E.

Pirogov Russian National Research Medical University

Nasal dorsum reinforcement via bone fixation by suspension suture in structural rhinoplasty

Authors:

Glushko A.V., Gammadaeva S.Sh., Gordeeva K.M., Lebedeva Yu.V., Manturova N.E.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2024;(4‑2): 37‑44

DOI: 10.17116/plast.hirurgia202404237

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Table of contents

NASAL DORSUM REINFORCEMENT VIA BONE FIXATION BY SUSPENSION SUTURE IN STRUCTURAL RHINOPLASTY
NASAL DORSUM REINFORCEMENT VIA BONE FIXATION BY SUSPENSION SUTURE IN STRUCTURAL RHINOPLASTY

To cite this article:

Glushko AV, Gammadaeva SSh, Gordeeva KM, Lebedeva YuV, Manturova NE. Nasal dorsum reinforcement via bone fixation by suspension suture in structural rhinoplasty. Plastic Surgery and Aesthetic Medicine. 2024;(4‑2):37‑44. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202404237

Подписка 2025-2 (Plastic Surgery and Aesthetic Medicine)
 
МСФ на ЯМ
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Recommended articles:
Modi­fication of nasal pyra­mid in rhinoplasty: current state of issue. Russian Rhinology. 2024;(2):126-135

OBJECTIVE

To develop the original technique for nasal dorsum reinforcement via bone fixation by suspension suture in rhinoplasty for maintaining anatomical stability and creating necessary width and height of nasal dorsum.

MATERIAL AND METHODS

We used suspension suture for nasal dorsum reinforcement in low lateral, incomplete transverse and complete paramedian osteotomies of nasal bones.

RESULTS

There were 38 surgeries between June 2023 and July 2024. All patients were females aged 32 years (range 21—43). All patients underwent open rhinoplasty.

CONCLUSION

Original technique of suspension suture in structural rhinoplasty provides effective fixation of nasal dorsum bones with its alignment along aesthetic center and formation of necessary shape, width and height. This technique also prevents postoperative aesthetic and functional complications.

Keywords:

structural rhinoplasty
nasal dorsum
osteotomy
suspension suture

Authors:

Glushko A.V.

Sechenov First Moscow State Medical University;
Institute of Plastic Surgery and Cosmetology

Gammadaeva S.Sh.

Russian University of Medicine

Gordeeva K.M.

Sechenov First Moscow State Medical University;
Institute of Plastic Surgery and Cosmetology

Lebedeva Yu.V.

Saint Petersburg State Pediatric Medical University

Manturova N.E.

Pirogov Russian National Research Medical University

Received:

30.08.2024

Accepted:

15.09.2024

List of references:

  1. Hemmatpour B, Heydari MB, Rabieenia M. Psychometric evaluation of the perfectionism scale’s characteristics regarding physical appearance in patients seeking rhinoplasty surgery. JPRAS Open. 2024;41:194-202.  https://doi.org/10.1016/j.jpra.2024.05.004
  2. Kovacevic M, Riedel F, Göksel A, Wurm J. Options for Middle Vault and Dorsum Restoration after Hump Removal in Primary Rhinoplasty. Facial Plastic Surgery. 2016;32(4):374-83.  https://doi.org/10.1055/s-0036-1586124
  3. Frame JD. New Concepts in Nasal Tip Rhinoplasty. Oral and Maxillofacial Surgery Clinics of North America. 2021;33(1):71-82.  https://doi.org/10.1016/j.coms.2020.09.015
  4. Bafaqeeh SA, Bayar Muluk N, Cingi C. Are preservation rhinoplasty techniques safer than structural ones? European Review for Medical and Pharmacological Sciences. 2023;27(5 Suppl):11-18.  https://doi.org/10.26355/eurrev_202310_34064
  5. Robotti E, Khazaal A, Leone F, De Bernardis R, Nolli M, Robotti S, Cottone G. Combining Piezo and Power Tools for a Better Outcome in Hybrid Structural-Preservation Rhinoplasty. Aesthetic Plastic Surgery. 2024 Aug 08. Online ahead of print. https://doi.org/10.1007/s00266-024-04278-6
  6. Gorbunov SA, Gorbunov SA, Zholtikov VV, Rusetsky YuYu, Manturova NE. Modification of the nasal pyramid during rhinoplasty: current state of the issue. Russian Rhinology. 2024;32(2):126-135. (In Russ.). https://doi.org/10.17116/rosrino202432021126
  7. Davis RE, Foulad AI. Treating the Deviated or Wide Nasal Dorsum. Facial Plastic Surgery. 2017;33(2):139-156.  https://doi.org/10.1055/s-0037-1598034
  8. Öztürk G. Semidorsal Preservation Techniques with Ostectomy for Narrowing the Nasal Roof. Journal of Craniofacial Surgery. 2023;34(8):2497-2500. https://doi.org/10.1097/SCS.0000000000009564
  9. Burm JS. Correction of the Asian deviated nose with no hump using unilateral bony mobilisation and dorsal septal suture fixation. Journal of Plastic, Reconstructive and Aesthetic Surgery. 2007;60(2):180-187.  https://doi.org/10.1016/j.bjps.2006.03.038
  10. Rusetsky Y, Mokoyan Z, Chernova O. Unilateral Fixation of the Bony Pyramid in Deviated Nose Correction. Aesthetic Plastic Surgery. 2024;48(11): 2071-2075. https://doi.org/10.1007/s00266-023-03756-7
  11. Rusetsky Y, Makhambetova E, Mokoyan Z. Modification of Push-Down Rhinoplasty with Maxilla-Pyramid Sutures. Aesthetic Plastic Surgery. 2023; 47(6):2585-2589. https://doi.org/10.1007/s00266-022-03190-1
  12. Yuan J, Zheng T, Yang TY, Li T, Liu WC, Wen L, Shao Y. Suture under tension across cartilage in the application of the crooked nose surgery. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;31(20):1566-1569. https://doi.org/10.13201/j.issn.1001-1781.2017.20.006
  13. Patel PN, Kandathil CK, Abdelhamid AS, Buba CM, Most SP. Matched Cohort Comparison of Dorsal Preservation and Conventional Hump Resection Rhinoplasty. Aesthetic Plastic Surgery. 2023;47(3):1119-1129. https://doi.org/10.1007/s00266-022-03156-3
  14. Haack S, Hacker S, Mann S, Gubisch W. Bony Fixation of the Nasal Framework. Facial Plastic Surgery. 2019;35(1):23-30.  https://doi.org/10.1055/s-0039-1677767
  15. Yasar EK, Demir CI, Alagoz MS. A Simple Solution for Infractured Lateral Nasal Osteotomy Lines during Revision or Primary Rhinoplasty: Osseos Stabilization with Polydioxanone Sutures. Journal of Craniofacial Surgery. 2021;32(1):e103-e106. https://doi.org/10.1097/SCS.0000000000006765

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