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An Algorithmic Approach to Management of Whistle Deformity

Bhandari, Padam Singh MBBS, MS, MCh

doi: 10.1097/SAP.0b013e3182583d11
Head and Neck Surgery

Background Various techniques have been described for the correction of whistle deformity, but no single technique can be used for all types of whistle deformities because the cause of deformity and tissues available for its correction may be different.

Method Forty-seven cases of whistle deformity were divided in to 5 groups depending on its cause (deficient tissue) and the tissues available for its correction. Various techniques available for the correction of whistle deformity were analyzed. Techniques available for that particular group were short listed, and the appropriate technique was selected for correction of whistle deformity of the patient belonging to that particular group.

Result Of the 47 patients, 3 required reoperation.

Conclusions The proposed classification of whistle deformity and, accordingly, an algorithm for its management helps the operating surgeon to select the appropriate technique from a wide list of options available for correcting whistle deformity.

From the Lok Nayak Hospital; and Associated Maulana Azad Medical College, New Delhi, India.

Received July 17, 2011, and accepted for publication, after revision, March 28, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Padam Singh Bhandari, MBBS, MS, MCh, Flat No. 30, Prashant Apartment, IP Extension Pat-par ganj, New Delhi 92, India. E-mail:

© 2014 by Lippincott Williams & Wilkins