Post-operative internal valve stenosis and/or collapse.
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Biomedical subjects
Publications and source records attributed to W E Berman.
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Nasal obstruction from valvular dysfunction may take many forms besides alar collapse. Some valvular stenoses result from scarring and tissue loss from the dorsum of the nose. Any surgical correction should take into consideration replacement of lost tissue. Several surgical means of handling this type of obstruction are described.
Three techniques of nasal tip cartilage modifications are discussed in detail: the delivery, retroversion, and split (intracartilaginous) techniques. Ancillary procedures of the nasal tip, such as septoplasty without decreasing support, secondary surgery and post-traumatic nasal tip problems, and the rationale for various procedures are discussed.
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We have discussed composite grafts and some of their uses in secondary rhinoplastic procedures, the donor sites, and methods of application as to the dynamics of the iatrogenic problems and large septal perforations. A technique for nasal tip revisions as well as a safer septoplasty surgery that we have used for some years has also been shown.