The role of the upper lateral cartilages in aesthetic rhinoplasty.

Background: Reducing lateral nasal tip width in order to optimize shape while still maintaining function presents a challenge to the operating surgeon. Techniques for the reduction of tip width are typically limited to resection, plication, or medial augmentation of the lower lateral cartilages (LLC).

Objective: This study describes a reduction of both the length and width of the lateral half of the upper lateral cartilages (ULC) to effect a change in nasal tip shape in selected individuals.

The septal strut for nasal projection following closed rhinoplasty.

Background: Nasal tip projection following closed rhinoplasty is difficult to predict and maintain.

Objective: We describe a procedure using the septum as an autologous strut to preserve the stability of the nasal tip following closed rhinoplasty.

Methods: Using an intra-cartilaginous approach for closed rhinoplasty, the medial cura of the lower lateral cartilages were dissected and attached to the septum.

Resorbable PLLA-PGA plate and screw fixation in pediatric craniofacial surgery: clinical experience in 1883 patients.

The need to provide rigid bony fixation in the surgical treatment of craniofacial deformities has inspired an on-going evolution of surgical innovations and implants. Because of the young age of many treated craniosynostosis patients and the unique pattern of cranial vault growth, the extensive implantation of metal devices is potentially problematic. The use of resorbable plate and screw devices offers all of the benefits of rigid fixation without many of their potential risks.