Rinoplastia terciaria con reconstrucción valvular con técnica Extensor Septal Vectorial 593: reporte de caso

Abstract

Introduction. Rhinoplasty is a surgical procedure that modifies the shape of the nose for aesthetic and functional reasons, using precise techniques such as trimming the cartilaginous dorsum and the bones of the nose. The scientific literature demonstrates that valve reconstruction rhinoplasties provide advanced techniques to restore respiratory functionality and nasal aesthetics, expanding treatment options and improving clinical outcomes in complicated cases. This procedure requires millimeter movements to achieve perfect facial harmony. Review Objective. The Extensor Septal Vectorial 593 focuses on valve reconstruction using intercostal cartilage to regulate airflow and vascularization, affecting the temperature and humidification of inhaled air. A comprehensive approach ensures successful functional and aesthetic results, minimizing postoperative risks and complications. Case Summary. A 27-year-old patient with aesthetic discomfort and shortness of breath had undergone primary rhinoplasty plus a subsequent touch-up. A collapse of the cartilaginous dorsum and the absence of nasal valvular structure were evident. A tertiary rhinoplasty with total valve reconstruction was performed using Extensor Septal Vectorial 593 surgical technique. Two weeks later, the patient was satisfied with the aesthetic result and had no respiratory distress despite the inflammation. Conclusion. This technique provides a supporting structure and improves breathing in patients with complex nasal deformities. This approach is beneficial as it allows satisfactory functional and aesthetic results accompanied by rigorous postoperative follow-up