Lateral Suspension Technique in Treatment of Lateral Crus Malposition Belada Technique

• Published in: The Journal of craniofacial surgery Vol. 34; no. 3; pp. e230 - e233
• Main Authors: Belada, Abdullah, Akcan, Fatih Alper
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01-05-2023
• Subjects: Esthetics, Dental; Female; Humans; Joint Dislocations - surgery; Male; Nasal Cartilages - surgery; Nose - surgery; Rhinoplasty - methods; Treatment Outcome
• ISSN: 1049-2275; 1536-3732
• DOI: 10.1097/SCS.0000000000009093

Lateral crus malposition can cause health problems from both functional and esthetic perspectives. Recently many techniques are developed to solve this problem. One of the failures that can be seen in these surgical techniques is that the lateral crus placed in its new position is shifted to the cephalic and is dislocated. Our aim in this study is to introduce the technique authors developed to prevent complications. 16 patients (10 female and 6 male) with a lateral crus malposition during rhinoplasty surgery were included in the study to have a reposition. The suture placed on the caudal end of the lateral crural strut graft attached to the lateral crus, which authors freed from the vestibule skin for repositioning in our patients operated with an open technique, is fixed by taking it out from the skin through the newly created pocket. The lateral crus, which was fixed with a suture in its new pocket, did not dislocate, did not shift to cephalic and no infection developed in any of our patients. In 1 of our patients, a second surgery was planned because the inserted lateral crural strut graft caused a narrowing in the nasal cavity.