An Alternative Rhinoplasty Technique: Rotational Spreader Flap (“Rabbit Flap”) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-11-09

AUTHORS

Ali Ahmet Sirin, Ibrahim Erdim, Omer Erdur, Alperen Sirin

ABSTRACT

BackgroundIn modern rhinoplasty, septal cartilage is the most commonly used graft material. It is a big challenge if septal cartilage is insufficient. We present an alternative technique named the “rabbit flap,” created from the cephalic portion of the lower lateral cartilage to show its effectiveness on nasolabial angle, nasal axis deviation, and nasal dorsal line.MethodsAn alternative flap, called a “rabbit flap,” is constituted from the cephalic portion of the lower lateral cartilage (LLC). The key for this flap’s success is in not cutting the connection between the lateral and medial crus of the alar cartilage. The flap is rotated and placed between the upper lateral cartilage and the septum to ensure a spreader graft effect; it can also be moved forward and backward to adjust the nasal tip rotation. Patients whose minimum width of LLC was 12 mm were included in this study. We subjectively evaluated the results of this technique for 24 patients who completed the rhinoplasty outcomes evaluation (ROE) questionnaire and objectively by measuring the nasal axis and nasolabial angles in the preoperative and postoperative first-year periods.ResultsThere were significant improvements in ROE, nasal axis deviation, and nasolabial angle scores when preoperative and postoperative first-year controls were compared (p < 0.001). We also observed no complications.ConclusionsWith this technique, we can correct both a nasal tip rotation and a mild nasal axis deviation. Moreover, we can achieve a proper nasal dorsal line and prevent an inverted V deformity. By expanding the internal nasal valve, a functionally effective surgery can be performed. However, the LLC must be strong enough to avoid alar collapse. In light of our results, we believe that the technique we call the “rabbit flap” can be used as an alternative rhinoplasty technique.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. More... »

PAGES

577-589

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00266-017-0999-4

DOI

http://dx.doi.org/10.1007/s00266-017-0999-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1092618845

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29124376


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