Columellar Aesthetics in Open Rhinoplasty

Kridel, Russell W. H.; Kwak, Edward S.; Watson, Jeffrey B.

doi:10.1055/s-0036-1585575

Cited by 12 publications

(16 citation statements)

References 7 publications

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“…The caudal septum, anterior nasal spine and lower lateral cartilage are structural components that affect columellar appearance. 6,7,14 Columellar asymmetry is primarily caused by lower lateral cartilage problems. Examples of lower lateral cartilage problems include deviation of the medial crura, a difference in the height of the medial crura, and asymmetry or deformity of the lateral crura.…”

Section: Discussionmentioning

confidence: 99%

“…Structural components and soft tissues play a role in the columellar anatomy. The caudal septum, anterior nasal spine and lower lateral cartilage are structural components that affect columellar appearance 6,7,14 . Columellar asymmetry is primarily caused by lower lateral cartilage problems.…”

Section: Discussionmentioning

confidence: 99%

“…Although structural tissues play an important role in the formation of columellar deformities, soft tissues also have an effect. Soft tissue components contributing to the shape of the columella include the mucosa, septal membranes, depressor nasi septi muscle, levator nasi septi muscle, and soft tissue between the medial crura 14 . Histologically, columellar soft tissues contain fibroblasts, collagen fibers, elastin fibers, muscle fibers, and adipocytes 13 .…”

Section: Discussionmentioning

confidence: 99%

“…The width of the columella is slightly greater at its base than at its apex. 6,7,14 Premature or excessive flaring of the medial crura leads to medial nostril convexity and/ or columellar widening. 6 Structural components and soft tissues play a role in the columellar anatomy.…”

Section: Discussionmentioning

confidence: 99%

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Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

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Background: One of the most important factors in nasal base aesthetics is symmetry. In the age of social media, the expectations of rhinoplasty patients and the rate of requests for a more symmetrical nose have increased. In this article, a lateral columellar grafting technique that can be applied to augment the more defective side of the columella and obtain a more symmetrical nasal base is presented. Methods: A total of 86 patients (women, 79; men, 7) were included in this study. The surfaces of the right and left lateral margins of the columella were evaluated from the basal view at the final stage of surgery, and a lateral columellar graft was placed on the more defective side. All patients who were included in the study were assessed with the Rhinoplasty Outcome Evaluation questionnaire before and 1 year after surgery. Results: The median age of the patients was 28.3 years (range, 18-56 years). Eighty-two patients were primary rhinoplasty patients, and 4 patients were secondary rhinoplasty patients. The median Rhinoplasty Outcome Evaluation score was 68.3 points before surgery and 92.3 points 1 year after surgery, showing a significant increase (P = 0.003). Patient satisfaction was found to be excellent in 93% of the included patients. Conclusions: Using the lateral columellar grafting technique, greater symmetry of the columella and nostrils can be obtained by augmenting the more defective side of the lateral columellar surface.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

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“…The columella is a trilaminar structure comprising of skin and alar cartilage and plays an important role in determining the shape of the nasal base [1] . It supports the tip of the nose and defines its projection.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of columella and nasal vestibuli by bilateral nasolabial flaps – A case report

Krogerus

Demant

Lindskow

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance The nose is a common location for non-melanoma skin cancers. Resection of such cancers can result in large, multilayer defects that are challenging to reconstruct. The surgical approach is determined by multiple factors and the main goal is to obtain a satisfactory functional and aesthetic result. We present a case of reconstruction of the nasal vestibuli and columella by two transnasal nasolabial flaps. Presentation of case A 66-year-old male underwent resection of a large squamous cell carcinoma in the right nasal vestibulum that extended through the columella into the left vestibulum. The resection resulted in a multilayer defect including the floor and roof of the right vestibulum, the entire columella, part of the septum cartilage and floor of the left vestibulum. The defect was reconstructed in two stages by bilateral nasolabial flaps, that were brought into the nasal cavity through incisions on the side of the nose and were used to line the vestibuli and sutured to each other medially to form the neocolumella. No complications or surgical site infections were observed. Clinical discussion Transnasal nasolabial flaps can be used for larger columellar defects. The length of the flaps in our case provided enough tissue to reconstruct the columella as well as the entire vestibular linings. Conclusion We describe a successful reconstruction of the nasal vestibuli and columella with two transnasal nasolabial flaps, which provided an acceptable aesthetic and functional result.

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Cosmetic Patient Evaluation

Zhu

Banki

2017

Complications in Maxillofacial Cosmetic Surgery

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Columellar Aesthetics in Open Rhinoplasty

Cited by 12 publications

References 7 publications

Rhinoplasty Technique for Improving Nasal Base Aesthetics

Rhinoplasty Technique for Improving Nasal Base Aesthetics

Reconstruction of columella and nasal vestibuli by bilateral nasolabial flaps – A case report

Cosmetic Patient Evaluation

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