Understanding Approaches to the Dorsal Hump.

Journal Article (Journal Article)

Dorsal hump reduction is a central component of western aesthetic rhinoplasty. Surgical success begins with knowledge of aesthetic ideals and accurate preoperative analysis. Knowledge of the patient's distortion from aesthetic ideals informs approach, technique, and instrument selection. Both endonasal and external approaches are suitable for dorsal hump reduction, though the latter affords more versatility when other surgical modifications are necessary. The main techniques consist of en bloc, Skoog, and component resection. Each has their distinct advantage, though a surgeon's comfort level with each should impact technique selection. Completion of the dorsal reduction often leaves a defect that must be reconstructed. Failure to anticipate the potential long-term sequelae and appropriately manage the dorsal defect can lead to a poor result and patient dissatisfaction.

Full Text

Duke Authors

Cited Authors

  • Barrett, DM; Casanueva, F; Wang, T

Published Date

  • April 2017

Published In

Volume / Issue

  • 33 / 2

Start / End Page

  • 125 - 132

PubMed ID

  • 28388791

Electronic International Standard Serial Number (EISSN)

  • 1098-8793

Digital Object Identifier (DOI)

  • 10.1055/s-0037-1598033


  • eng

Conference Location

  • United States