{"id":7234,"date":"2018-01-24T09:31:42","date_gmt":"2018-01-24T08:31:42","guid":{"rendered":"https:\/\/lesateliersduvisage.fr\/?page_id=7234"},"modified":"2022-04-04T16:39:28","modified_gmt":"2022-04-04T14:39:28","slug":"atlas-des-techniques-chirurgicales-en-rhinoplastie","status":"publish","type":"page","link":"https:\/\/lesateliersduvisage.fr\/en\/atlas-des-techniques-chirurgicales-en-rhinoplastie\/","title":{"rendered":"Atlas des techniques chirurgicales en rhinoplastie"},"content":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=”The atlas of surgical techniques in rhinoplasty” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Here you will find all the surgical techniques mentioned in the rhinoplastie<\/a> section.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text][\/vc_column_text][vc_tta_accordion active_section=”0″ no_fill=”true” collapsible_all=”true”][vc_tta_section title=”SURGICAL APPROACHES” tab_id=”1517307474013-d119c46f-db65″][vc_column_text]<\/p>\n

Hidden approaches<\/span><\/h2>\n

The \u00ab\u00a0inter septocolumellaire\u00a0\u00bb<\/span><\/h3>\n

The \u00ab\u00a0inter septocolumellaire\u00a0\u00bb is the incision of a basic septoplasty. It must not be plotted in relation to the caudal edge of the septum, varying in its form and in its position. It should be plotted 2mm back from mesial crus (at the intersection of hair implantation), which is easily distinctive if you carry out a traction on the columella by using a simple or a double hook. It is made on a bilateral basis.<\/span><\/p>\n

It must be extended downwards and backwards, so as to enable a precise dissection all along the caudal edge of the nasal septum and nasal spine.<\/span><\/p>\n

\"\"<\/a>‘incision inter-septocolumellaire<\/em><\/a><\/p>\n

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It goes up under the dome, onwards and on top of the plica nasi.<\/span><\/p>\n

It is associated to a dissection of the quadrangular cartilage under perichondrial and can be extended with a transcartilaginous incision.<\/span>
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Watch the video<\/a><\/p>\n

Intercartilaginous hidden approach<\/span><\/h3>\n

It is the easiest of surgical approaches. It allows the access to the dorsum of the nose without touching the tip of the nose. Plotted 2mm above the plica nasi, it is extended with the inter septocollumellaire incision. It goes in the intersection of two lateral cartilages area where the latter<\/span>\u00a0???????<\/b><\/p>\n

Elle passe dans la zone de jonction des 2 cartilages lat\u00e9raux o\u00f9 ces \u00e9l\u00e9ments de t\u00e9l\u00e9scopent plus ou moins selon les cas.<\/b>\u00a0<\/span><\/p>\n

It reaches the interseptocolumellaire incion. It supplies a wide surgical approach to the nose, to the septo-triangular vault and to the bones, but also to the alary lateral crus using the retrograde technique.<\/span><\/p>\n

\"\"<\/a>The inter-cartilaginous incision<\/span><\/i><\/p>\n

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Watch the videoVisionner la vid\u00e9o<\/a><\/p>\n

Transcartilaginous hidden approach or transcartilaginous lateral incision<\/strong><\/h3>\n

The transcartilaginous incision allows the resection, by hidden approach, of a part of <\/span>alaires\u2019<\/b> superior strips. As a consequence, it diminishes the volume of the tip of the nose and it can apply a cephalic rotation and access the dorsum of the nose. Its track is globally parallel to that of the intercartilaginous, but way higher than that of the plica nasi. The height of the incision depends of the quantity of cartilage that is to be resected. It must be plotted at the level of the area of the desired resection of the lateral crus (the inferior edge of the resection of the superior strip), starting inside the dome, spotted if necessary by the initial setting of the edge of the aspiration. It somehow follows the direction of the nasal hole and ends up insided the nose wing aplomb.<\/span><\/p>\n

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The trans-cartilaginous surgical approach<\/span><\/i><\/p>\n

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Watch the video<\/a><\/p>\n

Inferior marginal hidden approach (or rim incision)<\/strong><\/h3>\n

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The inferior marginal approach<\/span><\/i><\/p>\n

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The marginal approach is a reliable alternative to the external approach as far as edge work is concerned. It links an intercartilaginous approach and a marginal incision to an interseptocolumellaire. It does not lead to consequences if it is genuinely endonasal and if it conforms to the \u00ab\u00a0soft triangle\u00a0\u00bb\u00a0:<\/span><\/p>\n