Modification of Push-Down Rhinoplasty with Maxilla-Pyramid Sutures
Rusetsky Y. Makhambetova E. Mokoyan Z.
December 2023Springer
Aesthetic Plastic Surgery
2023#47Issue 62585 - 2589 pp.
A key point, that determines the late outcome of push-down procedures, is a stable fixation of the bony pyramid in its new position. Therefore, rhinoplasty surgeons are consistently trying to find the effective technique for fixation of the osseocartilaginous vault that has been investigated. Nonetheless, all described techniques are less or non-effective in cases when simultaneous septoplasty is required. Thus, we have found more relevant a lateral fixation of the bony pyramid. Using a needle piezotome, two holes above and below lateral osteotomy lines should be performed bilaterally. The downward inserted pyramid is fixed with maxilla-pyramid sutures through these holes. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Hump reduction , Maxilla-pyramid fixation , Push-down rhinoplasty
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Federal State Autonomous Institution “National Medical Research Center of Children Health”, Moscow, Russian Federation
Central State Medical Academy of the Presidential Executive Office, Moscow, Russian Federation
Medical University, Astana, Kazakhstan
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
Federal State Autonomous Institution “National Medical Research Center of Children Health”
Central State Medical Academy of the Presidential Executive Office
Medical University
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University (Sechenov University)
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