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Techniken der Nasenrückenkorrektur

Techniques for correction of the nasal dorsum

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Zusammenfassung

Korrekturen des Nasenrückens gehören zu den häufigen Naseneingriffen. Da sie wichtige Stützstrukturen der Nase wie Septolateralknorpel, K-Area und Scroll-Area tangieren, beeinflussen sie Ästhetik und Funktion der Nase gleichermaßen. Zu den wichtigsten Operationstechniken zählen heute neben „spreader grafts“ und „spreader flaps“ die Split-Hump-Reduction-Technik, Knorpel-Faszien-Transplantate und die Verwendung von Ohr- und Rippenknorpel. Die im Artikel beschriebenen Methoden dienen nicht nur der Korrektur von Nasenrückendeformitäten, sondern helfen auch Komplikationen wie umgekehrte V-Deformität, Sanduhrformen, Sattelbildungen oder Nasenklappenstenosen zur verhindern. Generell gilt der Grundsatz, Überresektionen und Schleimhautverletzungen zu vermeiden und anatomische Stützstrukturen wiederaufzubauen oder zu verstärken.

Abstract

Correction of the nasal dorsum ranks among the most common surgical procedures in rhinoplasty. Due to the involvement of nasal support structures such as septolateral cartilage and the K and scroll areas, these procedures have both aesthetic and functional impacts. In addition to spreader grafts and spreader flaps, the most important surgical methods currently include the split hump reduction technique, cartilage–fascia transplants and cartilage grafts from rib and ear. In addition to serving to correct deformities, the techniques described here help prevent complications such as inverted V, hourglass and saddle nose deformities, as well as nasal valve stenosis. The basic operative principle calls for reinforcement and reconstruction of the anatomical support structures, while avoiding overresection and mucosal lacerations.

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  1. Hals-, Nasen-, Ohrenklinik, Kopf-, Hals-, Plastische Gesichtschirurgie, Städtisches Klinikum Karlsruhe, Lehrkrankenhaus der Albert-Ludwigs-Universität Freiburg i. Br., Moltkestr. 90, 76133, Karlsruhe, Deutschland

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Heppt, W. Techniken der Nasenrückenkorrektur. HNO 61, 267–282 (2013). https://doi.org/10.1007/s00106-013-2669-4

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