Aesthetic plastic surgery · 2025
Stabilization of the Bony Pyramid in Rhinoplasty Using Dorsal Aesthetic Lines Bony Sutures.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Rusetsky Yury, Mokoyan Zhanna, Lavrov Levon, Bershina Anastasiya, Panasenko Elizaveta
Аннотация
INTRODUCTION: Modern rhinoplasty relies on osteotomies that risk destabilizing the nasal pyramid. While suture fixation is standard for cartilage, bony stabilization remains technically challenging. We present a novel piezosurgery-assisted 8-shaped "bridge suture" technique along dorsal aesthetic lines (DAL) to address this gap.
MATERIALS AND METHODS: From 2021 to 2023, 28 patients underwent structural rhinoplasty with DAL bony sutures. The technique involved: (1) DAL osteotomies via piezotome, (2) two pairs of bilateral 2-3 mm perforations, and (3) 4-0 PDS figure-eight sutures securing lateral bony slopes to the dorsum. Outcomes were assessed using ROE/NOSE questionnaires with 12-18 month follow-up.
RESULTS: All cases achieved stable dorsal symmetry without hump recurrence. Operative time averaged 189.6 ± 51.92 minutes with no major complications. Three revisions (unrelated to dorsum) were required. Significant improvements were observed in ROE (6.7±2.5 to 21.7±1.5, *p*<0.001) and NOSE scores (24.7±17.4 to 2.7±3.6, *p*<0.001).
CONCLUSION: This technique simplifies bony stabilization by eliminating transcutaneous steps while preventing over-narrowing. The 8-shaped suture design provides three-dimensional control, yielding predictable aesthetic and functional outcomes.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
MATERIALS AND METHODS: From 2021 to 2023, 28 patients underwent structural rhinoplasty with DAL bony sutures. The technique involved: (1) DAL osteotomies via piezotome, (2) two pairs of bilateral 2-3 mm perforations, and (3) 4-0 PDS figure-eight sutures securing lateral bony slopes to the dorsum. Outcomes were assessed using ROE/NOSE questionnaires with 12-18 month follow-up.
RESULTS: All cases achieved stable dorsal symmetry without hump recurrence. Operative time averaged 189.6 ± 51.92 minutes with no major complications. Three revisions (unrelated to dorsum) were required. Significant improvements were observed in ROE (6.7±2.5 to 21.7±1.5, *p*<0.001) and NOSE scores (24.7±17.4 to 2.7±3.6, *p*<0.001).
CONCLUSION: This technique simplifies bony stabilization by eliminating transcutaneous steps while preventing over-narrowing. The 8-shaped suture design provides three-dimensional control, yielding predictable aesthetic and functional outcomes.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .