Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities
Archives of Plastic Surgery
; : 113-117, 2012.
Article
in En
| WPRIM
| ID: wpr-70707
Responsible library:
WPRO
ABSTRACT
BACKGROUND: Nasal pyramid fractures accompanied by saddle nose deformities are not easily corrected by closed reduction. We used an absorbable plate as a perpendicular strut to support the collapsed "keystone area" and obtained good results. METHODS: Between September 2008 and June 2011, 18 patients who had nasal pyramid fractures with saddle nose deformities underwent surgery. Pre- and postoperative facial computed tomographic images and photographs were taken to estimate outcomes. The operative technique included the mucoperichondrial dissection of the nasal septum, insertion of an absorbable plate prepared to an appropriate length to support the "keystone area", and fixation of the absorbable plate strut to the cartilaginous septum. RESULTS: Functional and esthetic outcomes were satisfactory in all patients. Eleven patients assessed the postoperative appearance of the external nose as 'markedly improved' and 7 patients as 'improved'. The 5 surgeons scored the results as a mean of 4.5 on a 5-point scale. CONCLUSIONS: The use of an absorbable plate as a perpendicular strut requires no additional procedures because the plate is gradually absorbed. The mechanical strength provided by a buttress between the "keystone area" and the maxillary crest lasts for a long time before the strut is absorbed.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Congenital Abnormalities
/
Nose
/
Absorbable Implants
/
Fractures, Closed
/
Nasal Bone
/
Nasal Septum
Limits:
Humans
Language:
En
Journal:
Archives of Plastic Surgery
Year:
2012
Document type:
Article