A novel technique for spreader flap by folding dorsal hump in primary Rhinoplasty patients

A novel technique for spreader flap by folding dorsal hump in primary Rhinoplasty patients

Webinar on Otorhinolaryngology: ENT Surgery and Cosmetics
February 09, 2022

Hassan Assiri, Ahmed Alarfaj, Ibrahim Alawadh and Ahmed Bogri

King Saud University-Medical City, Saudi Arabia
Ministry of Health, Saudi Arabia

Scientific Tracks Abstracts : Otolaryngology Online

Abstract:

Background: The dorsal hump is a common nasal deformity that requires reduction and reconstruction of the midvault since different deformities may occur if no reconstruction is performed. We describe our novel modified spreader flap, which involves keeping the large cartilaginous septal T hump attached to the upper lateral cartilages to increase the thickness and length of the flap. Methods: In a prospective study that included 21 patients who met the criteria, patients were followed up for one year after surgery, with an assessment of the dorsal projection, tip projection, axis deviation, dorsal width and internal nasal valve grade. The modified Cottle maneuver and Rhinoplasty Outcome Evaluation score was also performed and obtained, respectively. Results: Our novel technique was performed in 20 patients (95.2%). In one additional patient, we added a regular auto-spreader flap on the contralateral side. One year postoperatively, the axis was found in the midline in all patients (100%). Assessment of internal valve collapse showed that collapse was reduced to grade 0 in 13 patients (61.9%) and grade 1 in 8 patients (38.1%). There were no hump recurrences or visible irregularities. The results showed a statistically significant difference between the pre- and postoperative values in dorsal projection, dorsal width and rhinoplasty outcome evaluation score. Conclusion: This novel technique shows promising results that were statistically significant in reducing dorsal hump projection and width, correcting axis deviation and improving internal nasal valve and rhinoplasty outcome evaluation score, while being less cartilage- and timeconsuming.

Biography:

Hassan Assiri has completed his MBBS at age of 29 from kung saud bin abdulaziz university for health science, riyadh, Saudi Arabia and join ENT residency program immediately. He is handling another bachelor degree from college of science medical applied in audiology and speech pathology from king Saud University. He has participated in 5 publications during his residency program. Currently he is a chief resident at his training center.

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