Background and ObjectivesZZDeviated nose is a commonly encountered deformity, and the correction of deviated nose is the most difficult part of septorhinoplasty. Generally, additional cartilaginous graft is required for straightening the deviated segment. However, there are many cases where sufficient cartilage grafts are not available due to revision surgery or cases with small cartilage. In such cases, tilted cartilaginous dorsum should be corrected without grafting. The purpose of this study is to evaluate the usefulness of clocking suture single technique for cartilaginous deviation by analyzing the surgical results of cases who underwent corrective rhinoplasty without any cartilaginous graft. Subjects and MethodZZFrom June 2009 to June 2016, 43 patients with tilted cartilaginous dorsum were corrected with clocking suture single technique. Cases underwent additional graft for straightening dorsum were excluded. The patients' medical records and facial photographs were analyzed to assess surgical outcomes and complications. Surgical outcomes were graded as excellent, fair and poor according to patients' satisfaction and evaluation by two physicians. ResultsZZMean follow up period was 15.4 (5-39) months. There were 39 patients (90.7%) with excellent result, 3 patients (7.0%) with fair results, and 1 patient (2.3%) with poor result. Augmentation was performed with expanded polytetrafluoroethylene or septal cartilage in 26 patients (60.5%) and dorsal hump was removed in 22 patients (51.2%). Concomitant augmentation didn't affect surgical results. No postoperative complication such as infection or inflammation were found. ConclusionZZThe clocking suture single technique is an effective surgical method for the correction of dorsal cartilaginous deviation.Korean J Otorhinolaryngol-Head Neck Surg 2017;60 (7):342-6 Key WordsZZ Cartilage ㆍClocking suture ㆍDeviated nose ㆍNose deformity ㆍRhinoplasty.
RhinologyKorean J Otorhinolaryngol-Head Neck Surg 2017;60 (7): 342-6 / pISSN 2092-5859 / eISSN 2092-6529 https://doi.org/10.3342/kjorl-hns.2017 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
www.kjorl.org 343Clocking Suture for Deviated Nose █ Choi GS, et al.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.