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Christian Vacher, Joao J. Accioli de Vasconcellos, Jonathan A. Britto 

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Presentation on theme: "Christian Vacher, Joao J. Accioli de Vasconcellos, Jonathan A. Britto "— Presentation transcript:

1 The upper buccal sulcus approach, an alternative for post-trauma rhinoplasty 
Christian Vacher, Joao J. Accioli de Vasconcellos, Jonathan A. Britto  British Journal of Plastic Surgery  Volume 56, Issue 3, Pages (April 2003) DOI: /S (03)

2 Figure 1 Fresh cadaver before dissection, displaying deviation (1A-AP view) and dorsal hump (1B-lateral view). British Journal of Plastic Surgery  , DOI: ( /S (03) )

3 Figure 2 Sub-periosteal dissection of the anterior nasal spine, sub perichondrial dissection of septum and nasal septal resection. Osteotome placed in piriform fossa in preparation for lateral osteotomy. British Journal of Plastic Surgery  , DOI: ( /S (03) )

4 Figure 3 AP (3A) and lateral (3B) views of the same cadaver after rhinoplasty by an upper buccal sulcus approach, showing correction of deviation and dorsal hump. British Journal of Plastic Surgery  , DOI: ( /S (03) )

5 Figure 4 Case one: preoperative views. The patient presented complaining of a dorsal hump despite three conventional rhinoplasties. There is also a deviation to the left. British Journal of Plastic Surgery  , DOI: ( /S (03) )

6 Figure 5 Case one: anterior view. Upper buccal sulcus approach, showing septal resection. British Journal of Plastic Surgery  , DOI: ( /S (03) )

7 Figure 6 Case one: postoperative views. The dorsal hump was corrected by the impaction of the intact nasal pyramid and the nose is straight. British Journal of Plastic Surgery  , DOI: ( /S (03) )

8 Figure 7 Case two: preoperative AP view of the second patient. Deviation of the dorsum. British Journal of Plastic Surgery  , DOI: ( /S (03) )

9 Figure 8 Case two: lateral preoperative view. The dorsal hump is evident. British Journal of Plastic Surgery  , DOI: ( /S (03) )

10 Figure 9 Case two: postoperative view. The deviation was corrected by the asymmetric impaction of the intact nasal pyramid and a dorsal cartilaginous graft. British Journal of Plastic Surgery  , DOI: ( /S (03) )

11 Figure 10 Case two: lateral postoperative view. Correction of dorsal hump is evident. British Journal of Plastic Surgery  , DOI: ( /S (03) )

12 Figure 11 In a fresh cadaver, cartilage grafting of the supra-tip by a subcutaneous columellar dissection from the oral approach. British Journal of Plastic Surgery  , DOI: ( /S (03) )


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