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A New Technique for Robust Stabilization in the Keystone Area during Extracorporeal Septorhinoplasty

Kamburoğlu, Haldun O., M.D.; Bitik, Ozan, M.D.

Plastic and Reconstructive Surgery: May 2019 - Volume 143 - Issue 5 - p 956e–959e
doi: 10.1097/PRS.0000000000005527
Cosmetic: Ideas and Innovations
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Summary: Although extracorporeal septorhinoplasty is the most powerful technique for correcting deviated and leaning noses, many investigators have abandoned it because of keystone problems. The authors defined a new neoseptum fixation technique and used it in 10 patients in 2016. Preoperative and postoperative Nasal Obstruction Symptom Evaluation scale and peak nasal inspiratory flow measurement, and septal indexes of the patients were compared. There was statistically significant improvement in the respiratory condition of all patients. No recurrence or dorsal irregularity has been observed. This new, easily applicable, and robust fixation method of extracorporeal septorhinoplasty may be a definitive solution to prevent keystone irregularities.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Ankara, Turkey

From private practice.

Received for publication March 27, 2018; accepted October 10, 2018.

Presented at the Seventh Annual Meeting of the Rhinoplasty Society of Europe, in Bergamo, Italy, March 14, 2018; and the Rhinoplasty Society Annual Meeting 2018, in New York, New York, April 26, 2018.

Disclosure:The authors have no financial interest to declare in relation to the content of this article. No funding was received for this article.

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Haldun O. Kamburoğlu, M.D., Koc Ikiz Kuleleri A Blok No. 57, Sogutozu, Cankaya, Ankara, Turkey, hk@haldunkamburoglu.com.tr, Instagram: @doc.dr.haldun_kamburoglu, Facebook: DocDrHaldunKamburoglu

©2019American Society of Plastic Surgeons