METHOD FOR PERFORMING SURGICAL OPERATION FOR HIGH NASAL DORSUM CORRECTION ACCORDING TO NASAL DORSUM MODELLING BY PEDICLE HUMP Russian patent published in 2014 - IPC A61B17/24 

FIELD: medicine.

SUBSTANCE: endonasal separation of soft tissues of the nasal dorsum is performed. Cartilaginous and bone portions of the nasal hump are transected with the hump left attached on a distal soft-tissue cartilaginous pedicle within an internal valve of the nose. The hump is brought out from the wound bending on the preserved pedicle backwards. That is followed by an external surgical modelling of the brought-out hump, the hump reattachment and fixation with percutaneous sutures. A cephalic portion of the hump is transfixed with an absorbable suture, and an end knot is tied up. The hump is bent to the previous position with tracing the free suture end under soft tissues of the hump. The suture is brought out through a nasal point percutaneously into the glabella centre and fixed to the skin. The reattached hump is additionally fixed with two side percutaneous sutures arranged from both sides of the nose at the level of the middle of a triangular cartilage.

EFFECT: more effective surgical operation, namely the safety of the natural contours of osteocartilaginous structures of the nasal dorsum and structures of the internal valve of the nose, the absence of undesired secondary changes accompanying the reattachment of the hump by preserving the residual blood supply through the distal pedicle, the absence of the postoperative displacement of a structure of the nasal dorsum by preserving the initial fixation of a tissue flap in the distal portion and the additional suture percutaneous fixation in three points.

1 ex, 7 dwg