Correction of the Over-Projecting Nasal Tip by the Suture Technique

Fm, Rafaty

doi:10.1001/archotol.1977.00780230083014

Cited by 8 publications

(2 citation statements)

References 4 publications

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“…In contrast, Rafaty described a technique in which the medial crura were sutured to the caudal end of the septum. 16…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, Rafaty described a technique in which the medial crura were sutured to the caudal end of the septum. 16 However, resulting tension led to a caudal bowing of the medial crura in terms of an inferior displacement combined with a "show" of the columella from laterally. Although we believe that both techniques are effective in decreasing tip projection, our approach circumvents the aforementioned limitations by simply resecting a full-thickness part of the columella.…”

Section: Discussionmentioning

confidence: 99%

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Composite Tissue Columella Wedge Excision for Nasal Tip Overprojection

Röjdmark

Fischer

2021

Plastic &Amp; Reconstructive Surgery

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Background:The overprojected nasal tip is a challenge in facial surgery. Although several techniques are available, none has been proven to be superior. The aim of this study was to introduce a novel approach to overcome nasal tip overprojection and to evaluate its safety and efficacy. Methods: All patients with protruding nasal tip who underwent correction by means of a novel columella wedge technique were included in this study. In addition to detailed description of the novel surgical approach, its efficacy was analyzed by comparison of preoperative and postoperative nose dimensions. In addition, patients were examined during follow-up, and complication and revision rates were determined. Results: Forty-two patients were included in this study. Columella wedge technique involved resection of a 2-to 5-mm section of the middle part of the columella. Postoperatively, nose projection and length decreased by 9 and 12 percent, respectively. The relation between projection and length of the nose changed from 0.68 preoperatively to 0.61 postoperatively. This difference was statistically significant (p = 0.002). After a mean follow-up of 28 months (range, 6 to 144 months), revision operations were necessary in seven patients (16.7 percent). No instabilities, impairment of breathing, or other complications occurred. Conclusion:The introduced columella wedge technique is efficient and safe for correction of the overprojected nasal tip.

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“…In contrast, Rafaty described a technique in which the medial crura were sutured to the caudal end of the septum. 16…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Composite Tissue Columella Wedge Excision for Nasal Tip Overprojection

Röjdmark

Fischer

2021

Plastic &Amp; Reconstructive Surgery

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Differenzialdiagnose zervikofazialer lymphonodulärer Erkrankungen

Dünne¹,

Werner²

2002

Lymphknotenerkrankungen Im Kopf-Hals-Bereich

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Improving Nasal Tip Projection and Definition Using Interdomal Sutures and Open Approach Without Transcolumellar Incision

Cárdenas-Camarena¹,

Guerrero²

2002

Aesth. Plast. Surg.

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The object of this study was to maximally take advantage of the combination of two surgical techniques to manage the nasal tip. For this, an approach similar to the open tip approach without a transcolumellar incision was performed and the management of the alar cartilages with multiple combined sutures was carried out. This study represents more than two years of work where 57 primary and secondary rhinoplasty patients were operated on. In all of them, the nasal tip was managed by means of utilizing different types of sutures in the alar cartilages, according to the characteristics and needs of each patient. At the same time, an extensive lipectomy was performed on the nasal tip, if indicated. All of the nasal tip surgeries were performed with an open approach without transcolumellar incision. This approach has been previously described, is highly simple, and it eliminates the principal disadvantage of a transcolumellar scar that arises from the open approach technique. Although the scar is hardly noticeable in Caucasian patients, in non-Caucasians it could constitute an important undesirable effect. This approach permits us to manage the cartilages using sutures in many diverse types and variations in a more complete form, similar to which one could achieve using the classical open approach technique. The results are highly satisfactory and result in a definition and rotation of the nasal tip which would be difficult using the closed technique. Therefore, this study represents another alternative surgical technique in the surgical management of the nasal tip.

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Correction of the Over-Projecting Nasal Tip by the Suture Technique

Cited by 8 publications

References 4 publications

Composite Tissue Columella Wedge Excision for Nasal Tip Overprojection

Composite Tissue Columella Wedge Excision for Nasal Tip Overprojection

Differenzialdiagnose zervikofazialer lymphonodulärer Erkrankungen

Improving Nasal Tip Projection and Definition Using Interdomal Sutures and Open Approach Without Transcolumellar Incision

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