Abstract
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.
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Conceptualization was contributed by YR, EM; Data curation was contributed by YR, EM, and ZM; Formal analysis was contributed by YR, EM, and ZM; Investigation was contributed by YR, ZM; Methodology was contributed by EM, ZM; Project administration and supervision were contributed by YR; Writing (original draft) was contributed by YR, EM; Writing (review and editing) was contributed by ZM; YR, EM, and ZM agree to be accountable for all aspects of the work.
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Rusetsky, Y., Makhambetova, E. & Mokoyan, Z. Modification of Push-Down Rhinoplasty with Maxilla-Pyramid Sutures. Aesth Plast Surg 47, 2585–2589 (2023). https://doi.org/10.1007/s00266-022-03190-1
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DOI: https://doi.org/10.1007/s00266-022-03190-1