Functional Nasal Surgery | Journal CME Article-Journal CME Article: Functional Nasal Surgery Video 5

Journal CME Article: Functional Nasal Surgery Video 5

Video Transcription

Video Summary

This video demonstrates the spreader flap technique used after dorsal hump reduction in rhinoplasty. The mucosa is trimmed by two millimeters from the upper lateral cartilage, which remains intact. Spreader flaps are created by turning the medial edge of the upper lateral cartilage inward. A 27-gauge needle and horizontal mattress sutures secure the flaps to the dorsal septum. This approach ensures the upper lateral cartilages maintain length and tension without scoring them. The technique results in a smooth dorsum and aesthetically pleasing dorsal lines, with additional securement possible using a flaring suture.

Keywords

spreader flap technique

rhinoplasty

dorsal hump reduction

upper lateral cartilage

aesthetic dorsal lines