{"id":1236,"date":"2025-10-12T10:10:01","date_gmt":"2025-10-12T10:10:01","guid":{"rendered":"https:\/\/www.dryalondolev.com\/rhinoplastie-fermee-indications-et-limites\/"},"modified":"2025-10-13T15:04:49","modified_gmt":"2025-10-13T15:04:49","slug":"rhinoplastie-fermee-indications-et-limites","status":"publish","type":"post","link":"https:\/\/www.dryalondolev.com\/fr\/rhinoplastie-fermee-indications-et-limites\/","title":{"rendered":"Rhinoplastie ferm\u00e9e : indications et limites"},"content":{"rendered":"

[vc_row css_animation=\u00a0\u00bb\u00a0\u00bb row_type=\u00a0\u00bbrow\u00a0\u00bb use_row_as_full_screen_section=\u00a0\u00bbno\u00a0\u00bb type=\u00a0\u00bbfull_width\u00a0\u00bb angled_section=\u00a0\u00bbno\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb background_image_as_pattern=\u00a0\u00bbwithout_pattern\u00a0\u00bb][vc_column][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]La rhinoplastie ferm\u00e9e (endonasal) est privil\u00e9gi\u00e9e pour des corrections mod\u00e9r\u00e9es: bosse ost\u00e9o-cartilagineuse simple, petite asym\u00e9trie, affinement l\u00e9ger de la pointe sans manoeuvres complexes. L\u2019absence d\u2019incision trans-columellaire permet une r\u00e9duction cicatricielle et, potentiellement, une r\u00e9cup\u00e9ration initiale plus rapide.<\/p>\n

S\u00e9lection des candidats : peau de qualit\u00e9 \u00e9lastique (\u00e9paisseur moyenne), d\u00e9viation minime, objectifs limit\u00e9s. En cas de d\u00e9formation complexe (pointe bifide, valve effondr\u00e9e, s\u00e9quelles post-traumatiques), l\u2019abord ferm\u00e9 devient restrictif.<\/p>\n

Technique : par incisions intranasales, on aborde le dorsum pour un rasage de bosse contr\u00f4l\u00e9; les ost\u00e9otomies sont planifi\u00e9es pour refermer les toits ouverts. La pointe peut \u00eatre modul\u00e9e via suturing techniques limit\u00e9es; les greffes sont plus difficiles \u00e0 placer qu\u2019en ouvert.<\/p>\n

R\u00e9sultats\/attentes : \u0153d\u00e8me plus discret sur la columelle (pas d\u2019incision externe). Les ecchymoses d\u00e9pendent surtout des ost\u00e9otomies. R\u00e9sultat morphologique appr\u00e9ciable d\u00e8s 4\u20136 semaines, stabilisation jusqu\u2019\u00e0 6\u201312 mois.<\/p>\n

Limites : contr\u00f4le r\u00e9duit des cartilages alaires et des valves; difficult\u00e9s \u00e0 r\u00e9aliser des greffes de spreader complexes. Lorsque la fonction respiratoire est en jeu, un abord ouvert apporte souvent une s\u00e9curit\u00e9 suppl\u00e9mentaire.[\/vc_column_text][vc_column_text css=\u00a0\u00bb\u00a0\u00bb el_class=\u00a0\u00bbbottom-cta\u00a0\u00bb]Pourquoi Dr Yalon Dolev : choix personnalis\u00e9 de l\u2019abord (ferm\u00e9 vs ouvert) apr\u00e8s analyse structurelle et fonctionnelle. Pratique priv\u00e9e \u00e0 Westmount, Montr\u00e9al (Centre-ville).
[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row css_animation=\u00a0\u00bb\u00a0\u00bb row_type=\u00a0\u00bbrow\u00a0\u00bb use_row_as_full_screen_section=\u00a0\u00bbno\u00a0\u00bb type=\u00a0\u00bbfull_width\u00a0\u00bb angled_section=\u00a0\u00bbno\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb background_image_as_pattern=\u00a0\u00bbwithout_pattern\u00a0\u00bb][vc_column][vc_column_text css=\u00a0\u00bb\u00a0\u00bb]La rhinoplastie ferm\u00e9e (endonasal) est privil\u00e9gi\u00e9e pour des corrections mod\u00e9r\u00e9es: bosse ost\u00e9o-cartilagineuse simple, petite asym\u00e9trie, affinement l\u00e9ger de la pointe sans manoeuvres complexes. L\u2019absence d\u2019incision trans-columellaire permet une r\u00e9duction cicatricielle et, potentiellement, une r\u00e9cup\u00e9ration initiale plus rapide….<\/p>\n","protected":false},"author":1,"featured_media":1230,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-1236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-categorise"],"acf":[],"yoast_head":"\nRhinoplastie ferm\u00e9e \u00e0 Montr\u00e9al | Dr Yalon Dolev<\/title>\n<meta name=\"description\" content=\"Abord endonasal sans cicatrice visible. 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