The Role of Outfracture in Correcting Post-Rhinoplasty Nasal Obstruction

Post-rhinoplasty nasal obstruction is often related to narrowing in the region of the nasal valve. Correction of this obstruction can include inferior turbinectomy, septoplasty spreader grafts and nasal valvuloplasty. The authors have seen cases of severe valve stenosis related to infracture after o...

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Bibliographic Details
Published inEar, nose, & throat journal Vol. 77; no. 2; pp. 106 - 112
Main Authors Pontell, Jonathan, Slavit, David H., Kern, Eugene B.
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.02.1998
Medquest Communications
SAGE PUBLICATIONS, INC
Subjects
Adult
Aged
Biological and medical sciences
Cadaver
Esthetics
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Medical sciences
Middle Aged
Nasal Bone - anatomy & histology
Nasal Bone - surgery
Nasal Obstruction - etiology
Nasal Obstruction - surgery
Osteotomy - methods
Patient Satisfaction
Photography
Reoperation
Rhinoplasty - adverse effects
Rhinoplasty - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Human
Postoperative
Nose disease
Osteotomy
Selection
Patient
Male
Experimental study
Obstruction
Turbinate bone
Result
Case study
Plasty
Retreatment
Treatment
Surgery
Nose
Nasal septum
ENT disease
Adult
Complication
Female
Technique
Cadaver
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Summary:Post-rhinoplasty nasal obstruction is often related to narrowing in the region of the nasal valve. Correction of this obstruction can include inferior turbinectomy, septoplasty spreader grafts and nasal valvuloplasty. The authors have seen cases of severe valve stenosis related to infracture after osteotomy which did not respond to any of the aforementioned procedures. These patients were treated with revision osteotomy with outfracture. We discuss patient selection and surgical technique for revision osteotomy with outfracture as well as a cadaver dissection demonstrating the effects of infracture and outfracture on valve area. The clinical results, based on patient satisfaction and pre- and postoperative photographs, are presented. Revision osteotomy with outfracture should be included in the surgeon's armamentarium for the treatment of post-rhinoplasty nasal obstruction.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0145-5613
1942-7522
DOI:10.1177/014556139807700209