Background: Reconstruction of nasal dorsum following excisional rhinoplasty has been a challenging problem. The nasal dorsum has special characteristics that could not be easily restored by lateral osteotomies. The present article introduces a new surgical technique for reconstruction of nasal dorsum after excisional rhinoplasty named underlay grafting for reconstruction of nasal dorsum.
Materials and methods: Fifteen patients underwent the new surgical technique and followed for 18 months.
Results: The new surgical technique could effectively restore the natural characteristics of nasal dorsum. None of the patients showed any evidence of postoperative decreased competency of internal valves.
Conclusions: The new surgical technique seems to be reliable to reconstruct the nasal dorsum following excision of a large hump.
