Suture Algorithm for the Broad or Bulbous Nasal Tip

A 22-year-old male presented to outpatient department with the complaint of widened nasal tip. He was a known case of rhinoscleroma diagnosed five years ago and had taken treatment for the same for one year. He has been asymptomatic since then. On clinical examination the patient had widening of the dorsum of the nose with a bulbous nasal tip. Anterior rhinoscopy was within normal limits. Rhinoplasty was done and the patient had an improvement in his cosmetic appearance. This is one of unique cases of rhinoplasty on bulbous tip due to rhinoscleroma. DOI: http://dx.doi.org/10.3329/bjo.v19i1.11604 Bangladesh J Otorhinolaryngol 2013; 19(1): 69-72

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Management of the Severe Bulbous Nasal Tip Using Porous Polyethylene Alloimplants

Facial Plastic Surgery ◽

10.1055/s-2004-815654 ◽

2003 ◽

Vol 19 (4) ◽

pp. 341-348 ◽

Cited By ~ 6

Keyword(s):

Porous Polyethylene ◽

Nasal Tip ◽

Bulbous Nasal Tip

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Reshaping of the Broad and Bulbous Nasal Tip

Clinics in Plastic Surgery ◽

10.1016/j.cps.2015.09.013 ◽

2016 ◽

Vol 43 (1) ◽

pp. 115-126 ◽

Cited By ~ 3

Author(s):

Karan Dhir ◽

Ashkan Ghavami

Keyword(s):

Nasal Tip ◽

Bulbous Nasal Tip

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Horizontal Reduction Using a Cephalic Hinged Flap of the Lateral Crura: A Method to Treat the Bulbous Nasal Tip

Aesthetic Plastic Surgery ◽

10.1007/s00266-010-9523-9 ◽

2010 ◽

Vol 34 (5) ◽

pp. 642-645 ◽

Cited By ~ 6

Author(s):

Amir A. Sazgar

Keyword(s):

Nasal Tip ◽

Bulbous Nasal Tip

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The Isis Cruraplasty

The American Journal of Cosmetic Surgery ◽

10.1177/074880689801500207 ◽

1998 ◽

Vol 15 (2) ◽

pp. 137-141

Author(s):

Steven Burres

Keyword(s):

Surface Area ◽

Lateral Cartilage ◽

Lower Lateral Cartilage ◽

Lateral Crus ◽

Nasal Tip ◽

Natural Configuration ◽

Lateral Segment ◽

Columellar Strut ◽

Bulbous Nasal Tip ◽

Tip Formation

Most of the reshaping techniques for a blunt, bulbous nasal tip reduce the curvature and surface area of tip lobule cartilage, and they reform the tip to add definition. Unfortunately, the assemblage of surgical maneuvers frequently reduces valued projection, and it may result in an unnatural tip formation with a distasteful pattern of contracture. Employing the Isis cruraplasty allows incremental tip enhancement and narrowing, while restoring or preserving the natural configuration. After lateral dome division and undermining of the medial portion of the lateral crus, the lateral segment of the lateral crus was transected incrementally and advanced to reenforce the deficiency in rim support. Sewing the medial flanges together created a cartilaginous platform that supported the Isis graft, and/or it accommodated a columellar strut, if indicated. The Isis cruraplasty conserves virtually all of the lower lateral cartilage without compromising the potential for tip reshaping and augmentation.

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