Advances in Nasal Tip Surgery: The Lateral Crural Steal

Kridel, Russell W. H.; Konior, Raymond J.; Shumrick, Kevin A.; Wright, William K.

doi:10.1001/archotol.1989.01860340060018

Cited by 143 publications

(71 citation statements)

References 6 publications

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“…[13][14][15][16][17][18][19] On the other hand, techniques that were used significantly more in secondary cases were those aiming at reconstruction and augmentation of the deficient nasal framework by various grafting tech-niques such as dorsal grafts, tip grafts, 20 spreader grafts, 21 premaxillary grafts, medial crural struts, and lateral crural struts.…”

Section: Surgical Techniques:-mentioning

confidence: 99%

External Rhinoplasty: Analysis of 50 Consecutive Cases.

Natarajan¹,

Subiah²,

Nataraj.³

et al. 2017

IJAR

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Section: Surgical Techniques:-mentioning

confidence: 99%

External Rhinoplasty: Analysis of 50 Consecutive Cases.

Natarajan¹,

Subiah²,

Nataraj.³

et al. 2017

IJAR

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“…With the caliper, a line was drawn at 4 mm from the tip-defining points bilaterally. The lateral crus was then advanced medially in a curvilinear fashion onto the medial crus until the drawn lines became the new tip-defining points, as discussed by Kridel et al 1 The cartilage was fixed using 5-0 Prolene mattress sutures (Ethicon Endo-Surgery Inc) just below the new dome on each side. A schematic representation is shown in Figure 2.…”

Section: Operative Techniquementioning

confidence: 99%

“…Using this technique, we will show the effect on the nasal tip of the lateral crural steal (LCS), a cartilage-sparing tip-modifying technique used to increase tip projection and rotation. 1 To our knowledge, the LCS has never been evaluated in a purely anatomical study.…”

mentioning

confidence: 99%

Precise Anatomical Study of Rhinoplasty

Moubayed

Chacra

Kridel

et al. 2014

JAMA Facial Plast Surg

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The prediction of nasal tip position in terms of projection, rotation, and length is a major challenge in rhinoplasty. Studies using preoperative and postoperative photographs lack accuracy owing to variable position, and computer-simulated models lack clinical applicability.OBJECTIVES (1) To describe an accurate and reproducible technique to study the effect of surgical manipulations on the nasal tip; and (2) to describe the effect on the nasal tip cartilages of the lateral crural steal (LCS). DESIGN, SETTING, AND PARTICIPANTSCadaveric study in a tertiary hospital center using 10 cadaveric specimens.INTERVENTIONS Heads were placed in a Mayfield head holder, and a 12.2-megapixel camera was fixed on a tripod in a perfectly still position and focused on the surgical field during all surgical manipulations. An external rhinoplasty approach was performed for all specimens, and a 4-mm LCS was achieved. MAIN OUTCOMES AND MEASURESMeasures include tip projection, tip rotation, and nasal length using preoperative and postoperative photographs. RESULTSOur method was successfully performed on all specimens: LCS resulted in a significant mean increase in projection using the Goode ratio (mean, 0.05; P = .005) and rotation (mean, 13.2°; P = .005). However, absolute tip projection variation was inconsistent, ranging from −1.0 mm to 0.6 mm. Nasal length was significantly shortened in all cases (mean, 1.3 mm, P = .005). CONCLUSIONS AND RELEVANCEWe describe the first technique for precise anatomical study of tip position in rhinoplasty on cadaveric specimens. This technique was successfully applied to 10 consecutive nasal tips. We have shown a significant increase in projection using the Goode ratio and rotation with LCS. However, the effect on absolute projection is inconsistent.LEVEL OF EVIDENCE NA.

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“…Their technique was modified in 1987 by Tardy and Cheng,5 who excised the interdomal soft tissue and positioned the knot medially. Kridel et al 6 described a transdomal suture named the lateral crural steal, which was designed to recruit lateral crura to increase tip projection. Daniel 7 and Tebbets 8 later reported on intradomal dome-shaping sutures and several variations of tip sutures.…”

Section: Interlocked Transdomal Suture Technique For the Wide Interdomentioning

confidence: 99%

Interlocked Transdomal Suture Technique for the Wide Interdomal Space in Rhinoplasty

Papel

2005

Archives of Facial Plastic Surgery

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Advances in Nasal Tip Surgery: The Lateral Crural Steal

Cited by 143 publications

References 6 publications

External Rhinoplasty: Analysis of 50 Consecutive Cases.

External Rhinoplasty: Analysis of 50 Consecutive Cases.

Precise Anatomical Study of Rhinoplasty

Interlocked Transdomal Suture Technique for the Wide Interdomal Space in Rhinoplasty

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