Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 May;138(3):195-199.
doi: 10.1016/j.anorl.2020.06.018. Epub 2020 Jul 24.

Septorhinoplasty by disarticulation

R Jankowski  1 , P Gallet  2 , D-T Nguyen  2 , C Rumeau  2
Affiliations
Free article

Septorhinoplasty by disarticulation

R Jankowski et al. Eur Ann Otorhinolaryngol Head Neck Dis. 2021 May.
Free article

Abstract

Septorhinoplasty by disarticulation is an esthetic and functional solution for naturally occuring nasal pyramid dysmorphia, releasing the anatomic traces of growth-related stresses. Disarticulating the septolateral cartilage from its bony framework via a closed approach to the septal pocket is associated to Rethi's external approach in order to disarticulate the fibrocartilaginous nasal dorsum, while conserving its integrity, under the bony dorsum. The bony pyramid is then disarticulated down to the nasion, after resecting any bone hump, by 2 paramedian and 2 low lateral osteotomies in the basal groove. The lateral sides of the bony pyramid are then fractured at their posterior edges by percutaneous pinching to close the open roof and realign them along the midline. The septolateral cartilage, reduced as necessary at the inferior and anterior edges, is thereafter repositioned on the premaxillary bone. Traction on its anterior edge restores rectilinear frontal and lateral tension in the fibrocartilaginous dorsum, fully conserved from its attachment to the nasion. This technique corrects any septal deformity and restores frontal and lateral dorsum straightness.

Keywords: Nasal development; Nasal pyramid; Rhinoplasty; Septoplasty.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

LinkOut - more resources