Facial Plast Surg 2023; 39(04): 417-426
DOI: 10.1055/a-2021-0280
Original Article

Cable and Mirror Sutures and the Nasal Septum Sublaminar Dissection

Jose Carlos Neves
1   Department of Facial Plastic Surgery, Myface Clinic, Lisboa, Portugal
,
Patricia Regalado Martin
2   Department of Facial Plastic Surgery, Clinica Pradillo, Madrid, Spain
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Abstract

Managing the nasal septum (NS) position is crucial in septorhinoplasty. The analysis and the preparation of the anterior nasal spine and the quadrangular cartilage as well as the strategy defined to efficiently stabilize the septum will dictate considerably the success of the result. Moreover, what we see in the surgical table can suffer modifications during the healing process because of poor fixation or the cheese-wire effect of the cartilage. We will present a logical sequence and tools to achieve a proper and stable position of the NS and the nasal pyramid. The sublaminar (supraperichondral) dissection of the quadrangular cartilage as an option to the subperichondral one and the use of cable and mirror sutures to three-dimensionally positioning and stabilizing the NS will be described.

Keywords

cable sutures - mirror sutures - sublaminar dissection - supraperichondral dissection - anterior nasal spine


Publication History

Accepted Manuscript online:
27 January 2023

Article published online:
20 March 2023

© 2023. Thieme. All rights reserved.

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