The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose Deformity

Supratip saddle nose usually occurs by a trauma or by excessive resection of the septal cartilage. The techniques to correct saddle nose deformity include the use of free cartilage transplants, homografts, xenografts and alloplastic materials. In this study a procedure of rotating a part of the late...

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Main Authors: N. Tan Ergin, Babür Akkuzu, Erkhan Genç
Format: Article
Language:English
Published: Galenos Yayincilik 2002-03-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-lateral-crus-rotation-technique-flying-wings-i/43814
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author N. Tan Ergin
Babür Akkuzu
Erkhan Genç
author_facet N. Tan Ergin
Babür Akkuzu
Erkhan Genç
author_sort N. Tan Ergin
collection DOAJ
description Supratip saddle nose usually occurs by a trauma or by excessive resection of the septal cartilage. The techniques to correct saddle nose deformity include the use of free cartilage transplants, homografts, xenografts and alloplastic materials. In this study a procedure of rotating a part of the lateral crura of the alar cartilages (flying wings) into supratip saddle nose is described and the results of 16 patients with a minimum follow-up of 3 months are discussed. A total number of 14 (87.5%) patients have satisfactory corrections of the supratip saddle nose deformity. Advantage of the technique is the use of autogenous, local cartilage, which is easily accessible and expandable. Rotating the lateral crus gives a strong and reliable supratip support. Additionally, upward traction effect of the technique can be used in some patients who have drooping nasal tip. Patients with short nasal bone and short lateral crus, and patients with previously performed rhinoplasty are the relative contraindications of the flying wings technique. External approach via midcolumellar incision makes possible direct vision, with a wide exposure of both lateral crus and the septum. The flying wings technique can be incorporated easily into a partial or complete rhinoplasty and secondary septoplasty.
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spelling doaj.art-e6010bffad774b52879826e4d205de482023-02-15T16:20:13ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742002-03-01401414713049054The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose DeformityN. Tan Ergin0Babür Akkuzu1Erkhan Genç2 Başkent Üniversitesi Tıp Fakültesi Kulak Burun Boğaz ve Baş Boyun Cerrahisi Anabilim Dalı Başkent Üniversitesi Tıp Fakültesi Kulak Burun Boğaz ve Baş Boyun Cerrahisi Anabilim Dalı Başkent Üniversitesi Tıp Fakültesi Kulak Burun Boğaz ve Baş Boyun Cerrahisi Anabilim Dalı Supratip saddle nose usually occurs by a trauma or by excessive resection of the septal cartilage. The techniques to correct saddle nose deformity include the use of free cartilage transplants, homografts, xenografts and alloplastic materials. In this study a procedure of rotating a part of the lateral crura of the alar cartilages (flying wings) into supratip saddle nose is described and the results of 16 patients with a minimum follow-up of 3 months are discussed. A total number of 14 (87.5%) patients have satisfactory corrections of the supratip saddle nose deformity. Advantage of the technique is the use of autogenous, local cartilage, which is easily accessible and expandable. Rotating the lateral crus gives a strong and reliable supratip support. Additionally, upward traction effect of the technique can be used in some patients who have drooping nasal tip. Patients with short nasal bone and short lateral crus, and patients with previously performed rhinoplasty are the relative contraindications of the flying wings technique. External approach via midcolumellar incision makes possible direct vision, with a wide exposure of both lateral crus and the septum. The flying wings technique can be incorporated easily into a partial or complete rhinoplasty and secondary septoplasty. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-lateral-crus-rotation-technique-flying-wings-i/43814 supratip saddle noseflying winglateral crusexternal approach.
spellingShingle N. Tan Ergin
Babür Akkuzu
Erkhan Genç
The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose Deformity
Turkish Archives of Otorhinolaryngology
supratip saddle nose
flying wing
lateral crus
external approach.
title The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose Deformity
title_full The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose Deformity
title_fullStr The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose Deformity
title_full_unstemmed The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose Deformity
title_short The Lateral Crus Rotation Technique (Flying Wings) in the Correction of the Supratip Saddle Nose Deformity
title_sort lateral crus rotation technique flying wings in the correction of the supratip saddle nose deformity
topic supratip saddle nose
flying wing
lateral crus
external approach.
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-lateral-crus-rotation-technique-flying-wings-i/43814
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