Abstract
Open structured rhinoplasty is the most complex and challenging procedure undertaken by the facile plastic surgeon. The aim is to achieve harmony between the esthetic desires of the patient and the functional performance of the nose, considering the patients’ anatomical and physiological limitations. Success relies upon the expertise of the surgeon to first recognize how the individual patients’ needs can be met, and then execute this plan with precision. It is therefore paramount that all graft dimensions, but particularly the septal extension graft (SEG), be accurately measured during the planning stage of intraoperative reconstruction, and before cartilage grafts are fashioned. We have developed a novel modification of the sterile ruler that enables precise measurements of spreader graft and SEG dimensions. There are two main advantages of this modification. First, the slender body of “gun-barrel” can easily be placed in the narrow plane between septal and upper lateral cartilages where the unmodified ruler would buckle and bend upon contact with adjacent structures. The second advantage is provided by the tip modification, which ensures accurate measurements can be obtained once the 3 mm ruler tip redundancy has been removed. We share our technique so that colleagues in the field can obtain these measurements with ease.
References
- Unadkat SN, Saleh HA. Restoring balance and symmetry to the aging nose. Facial Plast Surg. 2021;37(2):205-210.
- Sözen T, Dizdar D, Göksel A. Awareness of facial asymmetry and its impact on postoperative satisfaction of rhinoplasty patient. Aesth Plast Surg. 2021;45(1):214-220.
- Patel PN, Abdelwahab M, Shukla ND, et al. Functional outcomes of septal extension grafting in aesthetic rhinoplasty: A cohort analysis. Facial Plast Surg Aesthet Med. 2021;23(3):172-179.
- Spataro EA, Most SP. Tongue-in-Groove technique for rhinoplasty: Technical refinements and considerations. Facial Plast Surg. 2018;34(5):529-538.
Details
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology |
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 25, 2021 |
| DOI | https://doi.org/10.5152/ejra.2021.21048 |
| IZ | https://izlik.org/JA66FW84JU |
| Published in Issue | Year 2021 Volume: 4 Issue: 3 |
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