The Impact of Upper Lateral Cartilage Release on Patient‐Perceived Nasal Appearance and Obstruction

2021 ◽  
Author(s):  
Rachel E. Weitzman ◽  
Shekhar K. Gadkaree ◽  
Natalie S. Justicz ◽  
Robin W. Lindsay
Author(s):  
Diego Arancibia Tagle ◽  
Jose Carlos Neves ◽  
Alwyn D'Souza

AbstractThe correction and management of the nasal hump has been a classic problem in rhinoplasty since the beginning of the aesthetic purpose of this surgery. For many years, the resective technique described by Joseph has been the battle horse to solve this problem but it has several drawbacks if not done properly. In the late 19th and early 20th centuries, a new dorsal conservative technique was born and for several years was an alternative option to treat the same problem without damaging the keystone area while preserving the dorsal connection between the upper lateral cartilage and the septum. The aim of this article is to review the history and evolution of this technique, which has been reborn after several years, and how it has evolved since then.


2017 ◽  
Vol 127 (8) ◽  
pp. 1767-1771 ◽  
Author(s):  
David F. Smith ◽  
Monirah Albathi ◽  
Andrew Lee ◽  
Linda N. Lee ◽  
Kofi D. Boahene

2008 ◽  
Vol 61 (5) ◽  
pp. 527-532 ◽  
Author(s):  
Selahattin Ozmen ◽  
Suhan Ayhan ◽  
Kemal Findikcioglu ◽  
Sebahattin Kandal ◽  
Kenan Atabay

1996 ◽  
Vol 110 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Samy Elwany ◽  
Hossam Thabet

AbstractObstruction of the nasal valve is an important cause of chronic nasal obstruction in adults. In a series of 500 patients, obstruction at the level of the nasal valve was diagnosed in 65 of them (13 per cent). The obstruction was unilateral in 57 patients (88 per cent). Forty-seven patients (72 per cent) had history of previous nasal surgery of accidental trauma. Causes of obstruction of the nasal valve included high septal deviations, a weak or deformed upper lateral cartilage, adhesions, and alar collapse. All patients underwent corrective nasal surgery and the surgical procedures were tailored according to the existing pathology. Post-operatively, the mean nasal patency score increased from 2.9 to 8.6, the mean nasal airflow increased from 579.5 to 727 cm/sec (at 150 Pa), and the mean nasal resistance decreased from 0.31 to 0.23 Pa/cm3sec-1.


1981 ◽  
Vol 91 (5) ◽  
pp. 758???764 ◽  
Author(s):  
MOREY L. PARKES ◽  
RAJ KANODIA ◽  
Los Angeles

2021 ◽  
Author(s):  
Stephen F. Bansberg ◽  
Cullen M. Taylor ◽  
Brittany E. Howard ◽  
Andy M. Courson ◽  
Amar Miglani

2018 ◽  
Vol 72 (5) ◽  
pp. 45-50
Author(s):  
Ngalufua'atonga Havea ◽  
Cheryl Tang ◽  
Jason Rockey ◽  
Angelica Lynch

Introduction: The nasal valve is the main regulator of airflow in the nose. Consequently, the collapse of the nasal valve has a significant impact on nasal obstruction and hence quality-of-life of patients. Several nasal valve rhinoplasty techniques are being used, from cartilage grafts to endonasal resection of the upper lateral cartilage. We describe a new endonasal approach to nasal valve rhinoplasty, the Triangular Technique, and assess its efficacy and complication rate over ten years. Materials and Methods: A retrospective study of patients who underwent nasal valve rhinoplasty at three regional hospitals from Jan 2004 to May 2014 was conducted. Subjective reports were used to assess the improvement of nasal obstruction. 24 patients were included. Results: 3 months postoperatively, 19 patients reported improvement in nasal obstruction. 4 patients required revision surgery. 2 of these 4 patients had substantial symptom resolution post revision surgery. 10 patients were followed up for more than 5 years (range: 5.8 to 10.3 years), 9 of who reported continued satisfaction and none or minimal nasal obstruction after nasal valve rhinoplasty compared to before surgery. There were no reported complications. Discussion: The Triangular Technique is a straightforward endonasal technique to address collapsed nasal valves with minimal associated co-morbidities.


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