Management of the nasal tip by open rhinoplasty

1996 ◽  
Vol 24 (3) ◽  
pp. 145-150 ◽  
Author(s):  
G. Raspall ◽  
J. González-Lagunas
Keyword(s):  
Open Rhinoplasty ◽  
Nasal Tip

Open Rhinoplasty

2020 ◽  
Author(s):  
Ginger Xu ◽  
Paul Hwang ◽  
Nargiz Seyidova ◽  
Samuel J. Lin
Keyword(s):  
Key Words ◽  
Preoperative Evaluation ◽  
Surgical Techniques ◽  
Postoperative Management ◽  
Black Box ◽  
Open Rhinoplasty ◽  
Nasal Tip ◽  
Nasal Anatomy ◽  
Nasal Function ◽  
Type Of Surgery

Rhinoplasty is often considered the black box of plastic surgery. This apprehension can be overcome by having a fine-tuned understanding of nasal anatomy, developing an appreciation for nasal aesthetics, and becoming well-versed in the array of surgical techniques available to address specific cosmetic and functional concerns. Technical care and finesse are required in this type of surgery, where even 1 mm of change can result in a profound difference. Nasal function must also be assessed and preserved during rhinoplasty. Aside from these technical points, it is equally important to accurately and thoroughly understand each patient’s goals and to communicate the realistic outcomes and limitations of what can be done through surgery.   Key words: open rhinoplasty, nasal anatomy, nasofacial analysis, rhinoplasty techniques, rhinoplasty preoperative evaluation, rhinoplasty postoperative management, lateral nasal osteotomies, nasal tip grafts, nasal tip suture techniques This review contains 23 figures, 2 tables, and 43 references.

Open rhinoplasty using a columellar strut: effects of the graft on nasal tip projection and rotation

2020 ◽  
Vol 277 (5) ◽  
pp. 1371-1377 ◽  
Author(s):  
S. Bucher ◽  
S. Kunz ◽  
M. Deggeller ◽  
D. Holzmann ◽  
M. B. Soyka
Keyword(s):  
Open Rhinoplasty ◽  
Nasal Tip ◽  
Tip Projection ◽  
Columellar Strut ◽  
Nasal Tip Projection

Use of 2-Octylcyanoacrylate (Dermabond) Tissue Adhesive for Tip Graft Fixation in Open Rhinoplasty

2011 ◽  
Vol 145 (5) ◽  
pp. 737-741 ◽  
Author(s):  
Jin-Young Min ◽  
Yong Ju Jang
Keyword(s):  
Complication Rate ◽  
Soft Tissues ◽  
Costal Cartilage ◽  
Tertiary Care ◽  
Case Series ◽  
Tissue Adhesive ◽  
Open Rhinoplasty ◽  
External Approach ◽  
Cartilage Grafts ◽  
Nasal Tip

Objectives. To describe the use of 2-octylcyanoacrylate (2-OCA; Dermabond) for fixation of cartilage grafts in nasal tip surgery via an external approach in Asian patients. Study Design. Case series with chart review. Setting. Academic tertiary care medical center. Subjects and Methods. This retrospective study analyzed data from 33 Korean patients who underwent open rhinoplasty using 2-OCA tissue adhesive for fixation of cartilage grafts in tip surgery. Autologous septal, conchal, costal, or homologous costal cartilage was used as graft materials. Layers of cartilages were bonded using 2-OCA tissue adhesive, and care was taken to prevent the tissue adhesive from spilling and directly contacting surrounding soft tissues. Preoperative and postoperative photographs were reviewed for objective and subjective assessment of aesthetic outcomes. Results. Postoperative aesthetic outcomes were graded as excellent in 51.5%, fair in 33.3%, and no change/worse in 15.2% of patients. Preoperative and postoperative anthropometric measurements showed that the nasal tip projection increased (0.53 ± 0.03 vs 0.57 ± 0.05; P < .05) and the nasolabial angle improved (92.54 ± 6.95 vs 96.12 ± 5.20; P < .05). The overall complication rate was 24.2%, and complications included erythema (9.1%), infection (12.1%), and aesthetic dissatisfaction (3.0%). Conclusion. Although using 2-OCA tissue adhesive for tip surgery simplifies the surgical procedures of fixating graft materials, the relatively high complication rate may preclude its use in nasal tip surgery via an external approach for Asian noses.

scholarly journals Cephalic lateral crural advancement flap

2021 ◽  
Vol 48 (2) ◽  
pp. 158-164
Author(s):  
Fuat Bulut
Keyword(s):  
Analogue Scale ◽  
Advancement Flap ◽  
Open Rhinoplasty ◽  
Nasal Patency ◽  
Lower Lateral Cartilage ◽  
Lateral Crus ◽  
Tip Rotation ◽  
Nasal Tip ◽  
The Mean

Background In lower lateral cartilage (LLC) surgery, cephalic trimming poses risks for the collapse of the internal and external nasal valves, pinched nose, and drooping deformity. The cephalic lateral crural advancement (CLCA) technique presented herein was aimed at using a flap to increase nasal tip rotation and support the lateral crus, in addition to the internal and external nasal valves, by avoiding grafts without performing excision.<br/>Methods This study included 32 patients (18 female and 14 male) and the follow-up period for patients having undergone primer open rhinoplasty was 12 months. The LLC was elevated from the vestibular skin using the CLCA flap. A cephalic incision was performed without cephalic trimming. Two independent flaps were formed while preserving the scroll ligament complex. The CLCA flap was advanced onto the lower lateral crus while leaving the scroll area intact. The obtained data were analyzed retrospectively.<br/>Results The mean age of the patients was 31.6 years (range, 20–51 years). The Rhinoplasty Outcome Examination scores after 12 months varied from 90 to100 points, and 93% of patients reported perfect satisfaction. At a 1-year follow-up, the patients’ nasal patency (visual analogue scale) rose from 4.56±1.53 (out of 10) to 9.0±0.65 (P<0.001).<br/>Conclusions The CLCA flap led to better nasal tip definition by protecting the scroll area, increasing tip rotation, and supporting the internal and external nasal valves without cephalic excision.

Narrowing the Wide Tip via Endonasal Approach

2021 ◽  
Author(s):  
Omotara Sulyman ◽  
Steven Dayan
Keyword(s):  
Healing Time ◽  
Open Rhinoplasty ◽  
Endonasal Approach ◽  
Nasal Tip ◽  
Nasal Anatomy ◽  
Facial Plastic ◽  
The Aesthetic ◽  
Contractile Forces ◽  
Tip Rhinoplasty ◽  
Gain Access

AbstractRhinoplasty is arguably the most complex and intricate surgery performed by facial plastic surgeons. Nasal tip refinement of a broad nasal tip has remained the most challenging part of rhinoplasty as sophisticated techniques are critical to achieve aesthetically pleasing and structurally sound nasal tips that can withstand the contractile forces of healing. Successful tip refinement relies on an in-depth preoperative and intraoperative understanding of the patient's nasal anatomy, well developed arsenal of techniques, the experience of the surgeon, and the aesthetic desires of the patient. Although the approach to gain access to the nasal tip so as to successfully reshape the tip has been a topic of debate over many years, the aim of this article is to outline and demonstrate how the broad nasal tip can be successfully recontoured through an endonasal approach using nondestructive techniques that have been effectively used in open rhinoplasty. We believe that there continues to be a place for endonasal tip rhinoplasty especially in this era in which patients desire less invasive procedures with shorter healing time.

Changes in Nasal Tip and Lateral Nostril Characteristics After the Semi-Tongue-in-Groove Technique in Open Rhinoplasty Surgery

2019 ◽  
Vol 30 (3) ◽  
pp. e192-e195 ◽  
Author(s):  
Saeid Atighechi ◽  
Niloofar Tari ◽  
Mohammadhossein Baradaranfar ◽  
Mohammadhossein Dadgarnia ◽  
Vahid Zand ◽  
...  
Keyword(s):  
Open Rhinoplasty ◽  
Nasal Tip ◽  
Tongue In Groove

scholarly journals Evaluation of the effectiveness of the use of free diced cartilage in dorsal and tip nasal rhinoplasty

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Amr Gouda Shafik ◽  
Mohamed Naguib Mohamed ◽  
Hassan Mohamed Hassan
Keyword(s):  
Nasal Obstruction ◽  
Outcome Evaluation ◽  
Open Rhinoplasty ◽  
Nasal Tip ◽  
Advantages And Disadvantages ◽  
Evaluation Scores ◽  
Symptom Evaluation ◽  
Significant Difference ◽  
Diced Cartilage ◽  
Tip Rhinoplasty

Abstract Background Rhinoplasty is considered one of the most challenging operations in the plastic surgery. Esthetic or functional reshaping purposes of the nose can be stressing for both surgeon and patient. Different types of graft materials have been used to perform augmentation rhinoplasty. Free diced cartilage (FDC) was recently established in dorsal nasal rhinoplasty for better handling of irregularities as well as contour deficits of dorsal nasal outcomes. The main purpose of the present study is to assess the effectiveness of the use of FDC in dorsal nasal and nasal tip rhinoplasty and evaluation of its advantages and disadvantages using the validated Nasal Obstruction Symptom Evaluation (NOSE) scale and the Rhinoplasty Outcome Evaluation (ROE) questionnaire to assess nasal obstruction and patient satisfaction. Results This prospective study was conducted between March 2018 and December 2019, 20 patients were included and planned for rhinoplasty using FDC to camouflage dorsal and nasal tip deformities. All patients (11males and 9 females) underwent open rhinoplasty through inverted v columellar incision, taken FDC from nasal septum. A statistical significant difference between pre- and post-operative NOSE scores was found (P < 0.001). Post-operative rhinoplasty outcome evaluation scores ranged from 45 to 100 with mean ± SD (83.15 ± 13.22). Excellent satisfaction was the most noted in 17 patients (85%), while 2 patients (10%) reported good satisfaction and 1 patient (5%) with acceptable satisfaction. Conclusion It was found that the FDC technique is an effective method for camouflage and augmentation of nasal dorsum as well as nasal tip in reconstructive and esthetic rhinosurgery for either primary or secondary rhinoplasty.

Sign in / Sign up

Export Citation Format

Share Document