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Journal Information
Vol. 57. Issue 9.
Pages 405-411 (November 2006)
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Vol. 57. Issue 9.
Pages 405-411 (November 2006)
Manejo de la base nasal mediante resección de husos de piel de la columnella
Management of the nasal base by resecting strips of skin from the columnella
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F.J. Ramírez Oropeza, F.J. Saynes Marín, M.E. Herrera Chavez
México D.F
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Resumen

El manejo de la base nasal incluye entre otros, el manejo de cartílagos laterales inferiores y la piel de la base nasal, las cuales varían de acuerdo al género y raza del paciente.

Objetivo

Proponer una técnica para el manejo de la base nasal en pacientes con una columnella ancha, donde al reducir su volumen permita efectuar una plastia alar satisfactoria.

Material y métodos

50 casos de pacientes sometidos a Rinoseptumplastía, con base ancha y una columnilla amplia documentados clínica y fotográficamente; se realizó reducción de esa columnella mediante resección de dos husos de piel a nivel de su base. Reducido el grosor de la columnella se efectuó la plastia alar.

Resultados

En el 100% de los casos se logró disminuir la base nasal de forma satisfactoria.

Conclusión

La resección de husos de piel en la base de columnella es una técnica eficaz, y rápida para reducir su volumen y secundariamente reducir el ancho de la base nasal.

Palabras clave:
Rinoseptoplastía
Base nasal
Columnella
Husos de piel
Abstract

The handling of the nasal base includes, changes of inferior lateral cartilages and the skin of the nasal base, which vary according to the gendre and race of the patient.

Objective

To propose a technique for the handling of wide nasal base in patients with a wide columnella, where reducing its volume allows carrying out the alar plasty in a satisfactory way.

Material and methods

50 cases of patients with Rhinoseptoplasty, with documented wide base and a wide columnella clinically and photographically; reduction of columnella was made by resection of two strips of skin at its base. Reducing the thickness of columnella and posterior alar plasty.

Results

In 100% of the cases that we were managed to diminish the nasal base the results were satisfactory.

Conclusion

The resection of strips of skin in the base of the columnella is an effective and fast technique to reduce its volume and secondarily reducing the width of the nasal base.

Keywords:
Rhinoseptumplasty
Nasal base
Columnella
Strips of skin

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