62 Management of the Short Nose Deformity in Revision Rhinoplasty

Rhinoplasty ◽  
2015 ◽  
Keyword(s):  
Short Nose ◽  
Revision Rhinoplasty ◽  
Nose Deformity

Management of the Short Nose Deformity in Revision Rhinoplasty

2008 ◽  
Vol 24 (03) ◽  
pp. 310-326 ◽  
Author(s):  
Henry Sandel ◽  
Stephen Perkins
Keyword(s):  
Short Nose ◽  
Revision Rhinoplasty ◽  
Nose Deformity

Correcting the Short Nose in Revision Rhinoplasty

2006 ◽  
Vol 14 (4) ◽  
pp. 343-355 ◽  
Author(s):  
Dean M. Toriumi ◽  
Amit B. Patel ◽  
Jaimie DeRosa
Keyword(s):  
Short Nose ◽  
Revision Rhinoplasty

The Caudal Septum Pivot Technique for Short Nose Correction

2021 ◽  
Author(s):  
Tito M. Marianetti ◽  
Valentino Vellone ◽  
Francesca De Angelis ◽  
Valerio Ramieri
Keyword(s):  
Simple Method ◽  
Short Nose ◽  
Tip Projection ◽  
Septal Extension Graft ◽  
Nasolabial Angle ◽  
Revision Rhinoplasty ◽  
Anterior Nasal Spine ◽  
Caudal Portion ◽  
Extension Graft ◽  
Nasal Length

AbstractThe short nose represents one of the greatest challenges in rhinoplasty. It is characterized by a reduced distance from the nasal radix to the tip-defining points, often associated with inadequate tip projection. Several techniques have been described for correction of short nose with the common objective of replacing and rebuilding the osteocartilaginous framework. One of the most effective method to correct the short nose is the septal extension graft. The authors describe the caudal septum pivot (CSP) technique, a simple method to elongate short noses by using a graft inserted in the dorsal septum after its division using as pivot the caudal portion, without detaching it from its natural anchorage to the anterior nasal spine. A retrospective analysis was performed reviewing the clinical charts and the operative records of 315 patients who underwent revision rhinoplasty from January 2015 to June 2019; among this group, 34 were considered eligible for the study. The patients (8 men, 26 women; mean age: 25.4 years; age range: 22–53 years) were divided into two groups: in 12 patients (Group 1) the CSP technique was performed, while Group 2 was composed of 22 patients who received a more classic treatment with a septal extension graft. To evaluate the outcomes, nasal length, tip projection, and tip rotation were measured pre- and 1 year postoperatively on digital photographs of each patient. Nasal anthropometric measurements revealed, at 12-month visit follow-up, an improvement in nasal length, tip projection, and nasolabial angle was achieved in all the patients. The comparison of the pre- and postoperative values showed a statistically significant reduction in the nasolabial angle (p < 0.05) and an increase in the tip projection (p < 0.05) and in the nasal lengthening (p < 0.05) in both groups. In authors' experience, the CSP technique could be considered a safe, reliable, and effective alternative technique in selected patients.

Reconstruction of short nose deformity using nasolabial flaps pedicled on the infraorbital vessels

1991 ◽  
Vol 44 (8) ◽  
pp. 567-569 ◽  
Author(s):  
Masahiko Noguchi ◽  
Kiyoshi Matsuo ◽  
Takeshi Hirose
Keyword(s):  
Short Nose ◽  
Nose Deformity

Septal Extension Graft in “Closed” Revision Rhinoplasty: A Simplified Technique

2017 ◽  
Vol 31 (4) ◽  
pp. 260-264 ◽  
Author(s):  
Alberto Scattolin ◽  
Pier-Francesco Galzignato ◽  
Fabrizio Longari ◽  
Luca D'Ascanio
Keyword(s):  
Endonasal Approach ◽  
Short Nose ◽  
Tip Projection ◽  
Septal Extension Graft ◽  
Revision Rhinoplasty ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Extension Graft ◽  
Nasal Length ◽  
Preoperative Examination

Background The septal extension graft (SEG) is widely used in secondary rhinoplasty for correction of a short nose with loss of tip support and projection, columellar retraction, and hyper-rotated tip secondary to an overresection of the caudal septum. Although SEG precise fixation can be relatively easy in the external approach, the difficulties of SEG placement in “closed” rhinoplasty can be discouraging. Objective To describe an easy surgical technique for SEG placement in endonasal revision rhinoplasty and to analyze the aesthetic results of the procedure. Methods Thirty-eight patients were submitted to an endonasal approach revision rhinoplasty with endonasal placement of SEG for the correction of a short nose with a hypoprojected and hyper-rotated nasal tip. Pre- and postoperative nasal length, tip projection, and tip rotation (nasolabial and lobulocolumellar angles) were measured for each patient. Results An increase (mean ± standard deviation) of nasal length by 15.02 ± 3.91% and an augmentation of tip projection by 11.34 ± 2.26% were noticed after surgery with respect to preoperative conditions. A significant (p < 0.001) decrease in the columellar-labial angle was recorded on postoperative (91.23 ± 3.85°) examination with respect to preoperative (99.81 ± 6.49°) conditions. A decrease (p < 0.001) in the columellar-lobular angle was noted on postoperative assessment (34.02 ± 5.28°) with respect to preoperative examination (50.02 ± 0.36°). No relevant postoperative complication was recorded. Conclusion The “endonasal” approach described for SEG placement was an easy and reliable procedure to treat a short nose with loss of tip support and projection, columellar retraction, and hyper-rotated tip, especially in revision surgery. The advantages of our technique over previously described approaches were reported.

Risk Factors of Saddle Nose Deformity after Septoplasty

2015 ◽  
Vol 58 (12) ◽  
pp. 859
Author(s):  
Gwan Choi ◽  
Joo Yeon Kim ◽  
Yeong Joon Kim ◽  
Seong Uk Jang ◽  
Joo-Wan Jo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Saddle Nose ◽  
Saddle Nose Deformity ◽  
Nose Deformity

scholarly journals Costal Cartilage Lateral Crural Strut Graft for Correction of External Nasal Valve Dysfunction in Primary and Revision Rhinoplasty

2021 ◽  
pp. 014556132098394
Author(s):  
Mohamed A. Taha ◽  
Christian A. Hall ◽  
Harry E. Zylicz ◽  
William T. Barham ◽  
Margaret B. Westbrook ◽  
...  
Keyword(s):  
Costal Cartilage ◽  
Primary Group ◽  
Nasal Valve ◽  
Lateral Crus ◽  
Valve Dysfunction ◽  
Score Improvement ◽  
Revision Rhinoplasty ◽  
Final Score ◽  
Sinonasal Outcome Test ◽  
External Nasal Valve

Objective: To evaluate and compare the costal cartilage lateral crural strut graft’s (LCSG) ability to support a weak lateral crus in patients with external nasal valve dysfunction (EVD) undergoing primary versus revision functional rhinoplasty. Methods: This is a prospective cohort study of 26 patients (mean [SD]: 40.23 [6.75] years of age; 10 [38%] females) with clinically diagnosed EVD, who underwent primary versus revision functional rhinoplasty with the use of a costal cartilage LCSG (10 [38%] primary functional rhinoplasty patients and the 16 [62%] revision patients). Preoperative and 12-month postoperative subjective and objective functional measurements along with statistical analysis were performed. Results: While all baseline demographic and preoperative functional measurement scores were similar between the 2 groups, the primary cohort’s preoperative scores were higher overall. Follow-up was a mean of 14.58 months. The primary group demonstrated a greater difference in score improvement postoperatively in all categories. All patients had significantly improved visual analog scale (VAS), Nasal Obstruction Symptom Evaluation Scale, 22-Item Sinonasal Outcome Test, and nasal peak inspiratory flow (NPIF) scores. When comparing the overall score outcome and surgical efficacy of the LCSG, both groups had near equal final score outcomes with the exception of VASL and NPIF. Conclusion: The LCSG is a viable and versatile option in the management of EVD for both primary and revision rhinoplasty patients.

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