scholarly journals The “Pancake Flip”: Management of Extreme Internal Curvature of the Lower Lateral Cartilage

2008 ◽  
Vol 87 (3) ◽  
pp. 136-137
Author(s):  
Steven Ross Mobley
Keyword(s):  
Lateral Cartilage ◽  
Lower Lateral Cartilage

Caudal Extension Graft of the Lower Lateral Cartilage: Technique and Aesthetic and Functional Results

2021 ◽  
Author(s):  
Juliano de Oliveira Sales ◽  
Wolfgang Gubisch ◽  
Rodrigo Ribeiro Ferreira Duarte ◽  
Aline Souza Costa Teixeira Moreno ◽  
Felipe Marques de Oliveira ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Age Groups ◽  
Functional Results ◽  
First Year ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Alar Retraction ◽  
Outcomes Evaluation ◽  
A New Technique ◽  
Extension Graft

AbstractHere we describe a new technique to deal with alar retraction, a highly undesirable imperfection of the nose. The procedure involves placing a caudal extension graft below the vestibular portion of the lower lateral cartilage (LLC) after its detachment from the vestibular skin. The graft is fixed to the cartilage and, subsequently, to the vestibular tissue. The present retrospective study included 20 patients, 11 females and 9 males, with a mean age of 28.90 years. Follow-up ranged from 1 to 18 months. Surgery improved alar notching to a smoother dome shape and nostril exposure was reduced in every patient. The caudal extension graft of the LLC contributed to rise in overall patient satisfaction, as revealed by the postoperative increase of the Rhinoplasty Outcomes Evaluation (ROE) mean score from 40.0 to 79.17 (p < 0.0001). It also contributed to and improved functional outcomes, as indicated by the decrease of the Nasal Obstruction Symptom Evaluation (NOSE) mean score from 52.75 to 13.25 (p = 0.0001). Sex did not affect the mean ROE and NOSE scores. Thus, increased patient satisfaction measured by the ROE is present in both sexes and at both age groups but it is better detected in the first year after surgery. Functional improvements analyzed with NOSE are best detected in patients aged ≥ 30 years and in follow-ups of 11 months. The caudal extension graft of the LLC technique described herein effectively and safely corrects alar retraction and the collapse of the nasal valve while filling the soft triangle.

Cleft Rhinoplasty: Strategies for the Multiply Operated Nose

2018 ◽  
Vol 34 (03) ◽  
pp. 290-297
Author(s):  
Tsung-yen Hsieh ◽  
Raj Dedhia ◽  
Travis Tollefson
Keyword(s):  
Surgical Procedure ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Nasal Deformity ◽  
Internal Lining ◽  
Cleft Rhinoplasty ◽  
Cartilage Grafting ◽  
Definition Of ◽  
Cleft Nasal Deformity ◽  
Maxillary Deficiency

AbstractRhinoplasty, as a surgical procedure to improve the appearance of the nose while preserving or improving function, is complicated and difficult to master. Revision cleft rhinoplasty offers another tier of challenge. The symmetry, proportions, and definition of the nose are affected by the native cleft deformity but also previous surgical scars, cartilage grafts, and skin excisions. Our preferred approach is to use structural cartilage grafting to establish septal and lower lateral cartilage resiliency. Internal lining deficiency is addressed with skin or lining transfer, while excess nasal tip thickness is contoured to improve definition. Of the utmost importance, the cleft nasal deformity cannot be considered in isolation, but rather a combined amalgamation of the lip muscle and scar, dentofacial occlusion, and skeletal maxillary deficiency.

scholarly journals Lateral intercrural suture in the caucasian nose: Decreased domal divergence angle in endonasal rhinoplasty without delivery

2012 ◽  
Vol 16 (02) ◽  
pp. 232-235
Author(s):  
Marcos Mocelin ◽  
Caio Soares ◽  
Rogério Pasinato ◽  
Andreia Frota ◽  
Cezar Berger
Keyword(s):  
Prospective Study ◽  
Divergence Angle ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Lateral Crus ◽  
Basic Technique ◽  
Nasal Tip ◽  
Definition Of

Summary 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.

Congenital Isolated Aplasia of Lower Lateral Cartilage and Reconstruction Using Dorsal Hump Material

2014 ◽  
Vol 25 (5) ◽  
pp. e411-e413 ◽  
Author(s):  
Gökhan Temiz ◽  
Nebil Yeşiloğlu ◽  
Murat Sarici ◽  
Gaye Taylan Filinte
Keyword(s):  
Lateral Cartilage ◽  
Lower Lateral Cartilage

Objective Tools to Analyze the Lower Lateral Cartilage in Unilateral Cleft Lip Nasal Deformities

2011 ◽  
Vol 22 (4) ◽  
pp. 1435-1439 ◽  
Author(s):  
Mohamed A. Saleh ◽  
Ahmed Elshahat ◽  
Maher Emara ◽  
Heba Hussein ◽  
Lisa Gould ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage

scholarly journals Mechanical Analysis of the Effects of Cephalic Trim on Lower Lateral Cartilage Stability

2012 ◽  
Vol 14 (1) ◽  
pp. 27-30
Author(s):  
Sepehr Oliaei ◽  
Cyrus Manuel ◽  
Dmitriy Protsenko ◽  
Ashley Hamamoto ◽  
Davin Chark ◽  
...  
Keyword(s):  
Mechanical Analysis ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage

S105 – Congenital Absence of the Left Lower Lateral Cartilage

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P112-P112 ◽  
Author(s):  
Kian Karimi ◽  
Robert T Adelson ◽  
Nicholas A Herrero
Keyword(s):  
Case Report ◽  
Congenital Abnormalities ◽  
Surgical Techniques ◽  
Nasal Airway ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Open Structure ◽  
Clinical Exam ◽  
Included Patient ◽  
Aesthetic Results

Objectives Review the embryology of the cartilaginous nasal skeleton. Present an anatomic varient of the nasal skeletal anatomy not previously described. Methods Case report of an adult patient evaluated for nasal airway obstruction and suspected from clinical exam to have absence of the left lower lateral cartilage. Photographs document this first report of an absent lower lateral cartilage and surgical techniques to reconstitute the nasal tip. Results Surgical outcome of open structure rhinoplasty and photographs included. Patient pleased with functional and aesthetic results of procedure. Conclusions This previously unreported clinical entity extends the spectrum of congenital abnormalities of the nose and can be addressed successfully with open structure rhinoplasty techniques.

Repositioning of the Lower Lateral Cartilage in Primary Cleft Nasoplasty

2010 ◽  
Vol 64 (5) ◽  
pp. 691-695
Author(s):  
Stephen Alexander Rottgers ◽  
Shao Jiang
Keyword(s):  
Lateral Cartilage ◽  
Lower Lateral Cartilage
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