Ann Plast Reconstr Surg | Volume 6, Issue 1 | Research Article | Open Access

Hybrid Dorsal Preservation Rhinoplasty: How We Do It

Antonio Sousa Vieira, Guilherme Machado de Carvalho* and Dunja Milicic

Department of Otorhinolaryngology, Hospital Lusiadas Porto, Portugal

*Correspondance to: Guilherme Machado de Carvalho 

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Background: A difficult to correct dorsal K-area is a frequent cause of residual and/or recurrent dorsal hump in preservation rhinoplasty. Fragile osseocartilaginous elastic connections essential in static stability of nasal pyramid structure should be at least respected. A bulging of Upper Lateral Cartilage (ULC) caudally to this area are principal cause of cartilaginous hump, difficult to correct without damaging the stability.
Aim: A hybrid method of a combination of structural surgery with preservation attitude was suggested.
Methods and Material: Osseocartilaginous interconnection of DKA area (Dorsal K-Area) can be totally preserved with structural correction of the same area. An incision below of DKA interconnections, with high auto-spreader grafts instead of trimming the deformity was suggested.
Conclusion: Septal T-segment could be freely excised as needed, sutured with high and low autospreader graft, as well with septum in desired position, without jeopardizing static stability of nasal pyramid. In our patients, no residual and/or recurrent hump was registered in immediate and as well in long term results.


Rhinoplasty; Preservation; Structural; Hybrid; Dorsal K-area


Vieira AS, de Carvalho GM, Milicic D. Hybrid Dorsal Preservation Rhinoplasty: How We Do It. Ann Plast Reconstr Surg. 2022;6(1):1088..

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