Supraseptal groove fold-in flap for the reconstruction of middle vault in primary rhinoplasty
Yakup Karabağlı, Can Ekinci, Sabri Karabağlı, Gülsen Özşahin

TL;DR
A new rhinoplasty technique using the supraseptal groove improves nasal function and appearance by supporting the middle vault.
Contribution
A novel fold-in flap technique using the supraseptal groove for middle vault reconstruction in primary rhinoplasty is introduced.
Findings
The technique significantly improved both functional and aesthetic outcomes compared to preoperative assessments.
The flap helped correct nasal deviation while preserving cartilage.
Results were evaluated using questionnaires and showed significant improvements (P < 0.01).
Abstract
During primary rhinoplasty, dorsal hump reduction almost always impairs the middle vault and if not reconstructed nasal obstruction is likely to occur. The aim of this study is to suggest a novel technique that can utilize supraseptal groove as fold-in flap to widen and support the middle vault for better functional results. Between November 2019 and November 2022, 232 patients operated utilizing supraseptal groove fold-in flap technique using open rhinoplasty approach was retrospectively examined. Supraseptal groove and upper part of the upper lateral cartilages were folded in toward the septum to widen and support the middle vault. Uneven split of the supraseptal groove was performed in favor of the deviation if there was a deviation present. Transcartilaginous horizontal mattress sutures were used if the flap was not stable. Functional results were compared by using Nasal…
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Taxonomy
TopicsNasal Surgery and Airway Studies · Obstructive Sleep Apnea Research · Sinusitis and nasal conditions
