Safely And Stably Nasal Dorsum Restoration Following Dorsum Reduction in Primer Rhinoplasty: Transosseous Horizontal Matress Suture and Subcartilageneous Transmucosal Suture

Demir C. İ., Yaşar E. K., Dursun Çoban B., Alagöz M. Ş.

31st Annual EURAPS Meeting,, Athens, Greece, 27 - 29 May 2021, pp.1

  • Publication Type: Conference Paper / Full Text
  • City: Athens
  • Country: Greece
  • Page Numbers: pp.1
  • Kocaeli University Affiliated: Yes



Nasal dorsum hump reduction is one of the most common reasons for patients to seek

rhinoplasty surgery. Separation of the upper lateral cartilage from the septum and bone and

subsequent cartilage hump excision during rhinoplasty disrupts the natural anatomy of the

dorsum. Following preservation of the osteocartilaginous structures, an anatomical position

should be restored to maximize both functional and aesthetic result.

Materials and Methods:

324 patients who underwent primary rhinoplasty between January 2014 and January 2018 were

included. Of the patients, 186 (57.4%) were female and 138 (42,6%) were male. Nasal hump

reduction were performed and holes in the nasal bones were created drill machine using a 1

mm drill bit. Once the nasal bones can be approached freely at the midline, two holes were

made using the drill. The nasal bones were stabilized at the midline using a 4.0 polidioksanon

suture.The inner mucoperichondrium of the ULCs was fixed to the septum with two

sutures.The ULCs remain in their natural position with these sutures.


On quantitative computer analysis , the dorsal aesthetic lines of 299 (92.2%) patients were

symmetrical. Dorsum irregularities were found in 12 (3.7%) patients. Revision surgery was

planned in six (1.8%) of these patients. Six (1.8%) patients had a suture reaction and six (1.8%)

patients underwent revision surgery in postop year one due to tip problems. Therefore a total

of 18 (5.5%) patients required revision rhinoplasty The results of the ROE scores show that 65%

and 28%. of patients gave 4 points and 3 points for ROE questionnaire which shows that 93% of

points were 3 and higher.


Reconstruction of disrupted nose dorsum anatomy in rhinoplasty surgery is necessary for

successful results. The protective and restorative techniques for nasal dorsum described

provided a stable, permanent, soft, symmetrical and natural nose dorsum at one year follow