TY - JOUR
TI - Aesthetic reconstruction of a crooked nose via extracorporeal septoplasty
AU - Kantas, I.
AU - Balatsouras, D.G.
AU - Papadakis, C.E.
AU - Marangos, N.
AU - Korres, S.G.
AU - Danielides, V.
JO - Journal of Otolaryngology - Head and Neck Surgery
PY - 2008
VL - 37
TODO - 2
SP - 154-159
PB - 
SN - 1916-0208, 1916-0216
TODO - 10.2310/7070.2008.0029
TODO - adult;  article;  disease severity;  esthetic surgery;  female;  human;  major clinical study;  male;  nasal bone;  nose cartilage;  nose malformation;  nose septum;  nose septum reconstruction;  osteotomy;  patient safety;  perforation;  priority journal;  reimplantation;  reliability;  reoperation;  surgical approach;  surgical technique;  treatment contraindication;  treatment indication;  treatment outcome, Adult;  Cartilage;  Esthetics;  Female;  Follow-Up Studies;  Humans;  Male;  Nasal Bone;  Nasal Septum;  Nose;  Nose Deformities, Acquired;  Osteotomy;  Postoperative Complications;  Prospective Studies;  Reoperation;  Rhinoplasty
TODO - Background: The aim of this study was to evaluate the effectiveness, indications, and contraindications of the extracorporeal approach in treating a severely deviated nose. Methods: Sixty-four patients operated on for aesthetic correction of a severely deviated nose were studied. Forty-six of them were first operations and 18 were revision cases. The surgical procedure of choice was the closed technique. Septal cartilage was prepared and then dislocated, followed by external alignment and reimplantation. Hump reduction with lateral osteotomies and, occasionally, medial dislocation of nasal bones was carried out. Results: Cosmetic results were satisfactory in all first operation cases. In 11 of the 18 revision cases, septal preparation was impossible; in 2, septal sagging was observed; and in 1, perforation was noted. Conclusions: Extracorporeal septoplasty is an effective, safe, and reliable technique, especially for twisted noses undergoing surgery for the first time. However, it is strongly contraindicated in a revised deviated nose.
ER -