Introduction:  Several techniques can be performed to improve nasal tip definition such as cartilage resection, tip grafts, or sutures. Objctive: To evaluate the outcome of lateral intercrural suture at the lower lateral cartilage by endonasal rhinoplasty with a basic technique without delivery in decreasing the angle of domal divergence and improving the nasal tip definition.

Method:  This prospective study was performed in 64 patients in which a suture was made on the board head of the lower lateral cartilage in the joint between the dome and lateral crus, using polydioxanone (PDS) with sharp, curved needle.

Results:  In all of the cases, better definition of the nasal tip was achieved by intercrural suturing for at least 6 months postoperatively.

Conclusion:  Lateral intercrural suture of the lower lateral cartilage provides improved nasal tip definition and can be performed by endonasal rhinoplasty without delivery in the Caucasian nose.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432521PMC
http://dx.doi.org/10.7162/S1809-97772012000200013DOI Listing

Publication Analysis

Top Keywords

intercrural suture
12
endonasal rhinoplasty
12
lower lateral
12
lateral cartilage
12
lateral intercrural
8
caucasian nose
8
domal divergence
8
rhinoplasty delivery
8
nasal definition
8
suture lower
8

Similar Publications

The dynamic retrograde intercrural columellar strut graft placement is a novel technique for a columellar strut insertion via a hemi-transfixion incision in patients undergoing endonasal functional or cosmetic surgery. It has a maximally concealed incision and does not disrupt major or minor tip support mechanisms. In our article, we give a detailed description of this unique surgical technique.

View Article and Find Full Text PDF

Introduction: The purpose of this study is to highlight the role of cartilage correcting suture in single-stage surgical correction for secondary unilateral cleft lip nose deformity with three-dimensional observations of preoperative and postoperative nasal forms.

Material And Methods: Between July 2017 and June 2019, 18 consecutive patients of unilateral cleft lip nose deformity aged between 16 and 28 years underwent surgical correction. The corrective procedure of nose involved columellar lengthening, medial and lateral nasal osteotomies along with augmentation of premaxilla by bone graft at premaxilla, and alar base wedge resections.

View Article and Find Full Text PDF

Tip Ligament Preservation and Suspension: Why and How?

Facial Plast Surg Clin North Am

February 2021

Division of Plastic, Maxillofacial and Oral Surgery, DUMC 3974 Baker House, 200 Trent Drive, Durham, NC 27710, USA.

This issue of Clinics explores the concept of "preservation" rhinoplasty. At present, this topic is gaining considerable attention. As proponents of preservation suggest, a great number of problems we encounter in rhinoplasty are problems that were not present before the surgery; therefore, they can often be attributable to the deconstruction and reconstruction that took place.

View Article and Find Full Text PDF

Evaluation of Nasal Tip Support in Septorhinoplasty.

Aesthetic Plast Surg

August 2019

Department of Otorhinolaryngology, Baskent University Faculty of Medicine, 06490, Bahcelievler, Ankara, Turkey.

Background: A good understanding of nasal tip support mechanisms is essential for achieving successful and functional rhinoplasty results. The loss of nasal tip support resulting from different maneuvers adopted during rhinoplasty and how this loss is affected by reconstructive applications should be known. This study evaluated and compared changes in nasal tip support perioperatively after different techniques were used during septorhinoplasty.

View Article and Find Full Text PDF

Mechanical analyses of critical surgical maneuvers in the correction of cleft lip nasal deformity.

PLoS One

July 2018

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

The relapse of nasal deformity is a challenge for modern correction of cleft lip. A comprehensive understanding in the biomechanical perspective of both the formation and correction of the cleft lip nasal deformity would lead to improved stability of the corrective outcome. In this study, a finite element model of secondary cleft lip nasal deformity was constructed, on which two critical corrective maneuvers were mimicked in the form of force-loading.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!