alexa Aesthetic Rhinoplasty - Primary And Secondary: How I Do It?
ISSN: 2155-9554

Journal of Clinical & Experimental Dermatology Research
Open Access

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6th International Conference on Cosmetology, Trichology and Aesthetic Practices
April 13-14, 2017 Dubai, UAE

Hamid Karimi
Iran University of Medical Sciences, Iran
Posters & Accepted Abstracts: J Clin Exp Dermatol Res
DOI: 10.4172/2155-9554.C1.054
Abstract
Rhinoplasty is a very frequent aesthetic procedure in my country. During this presentation, I will explain my techniques and methods for primary and secondary rhinoplasties. Several methods for correction of secondary nasal obstruction will be discussed with video presentation. At the end, results of methods for treatment of nasal obstruction will be presented. Nasal obstruction is a very omnius complication of the aesthetic rhinoplasty. In our country, more than 600 rhinoplasty surgeries are performed every day. One of the frequent complications of these surgeries is nasal obstruction. Internal Nasal Valve (INV) is the narrowest point in nasal airway and thus is the controlling point which regulates inspiration flow. Cross-section area of INV is about 40-55 mm and 40-50% of inspiratory resistance is due to INV function. Collapse of one or both INV can be a consequence of previous surgery, trauma, aging, or primary weakness of upper lateral cartilage. In this study, autologous conchal cartilage was used as a butterfly graft for opening and reconstruction of INV and the results were compared with spreader graft or spreader flap. All of the patients with secondary nasal obstruction in past 6 years in our office and clinic were included. Inclusion on criteria was positive Cottle and modified Cottle sign. And nasal function was studied before and after treatment. The results were compared with results of spreader graft and spreader flap. During more than 6 years, 41 patients (28 female and 13 male) were operated using butterfly graft and 94 patients were treated with spreader graft and 79 patients with spreader flap. In butterfly graft group, etiology of collapse was previous surgery in 22 patients (53.6%), primary weakness in 10 patients (24.3%) and nasal trauma in 9 patients (21.9%). After 10-40 months follow up, 96% of patients had good to excellent (stable) subjective respiratory function. The results of butterfly graft were similar to spreader grafts and flaps. There was no major morbidity or complication with butterfly graft after surgery. Six patients complained of broadening in middle vault. The butterfly graft for secondary nasal obstruction has the same results as spreader graft or flap.
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