Lengthening the Congenitally Short Nose

Giammanco, Pierre F.

doi:10.1001/archotol.1987.01860100091031

Cited by 8 publications

(1 citation statement)

References 5 publications

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“…The second stage involves lengthening of the nasal dorsum. 21 The external soft tissue envelope can often be the limiting factor, particularly in patients with trauma, malignancies, and burns with associated skin contracture throughout the nasal vault. In most patients, an adequate soft tissue envelope that covers the lengthened nose can be obtained by extensive undermining.…”

Section: Surgical Optionsmentioning

confidence: 99%

Nose Elongation: A Review and Description of the Septal Extension Tongue-and-Groove Technique

Ponsky

Harvey

Khan

et al. 2010

Aesthetic Surgery Journal

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Several articles have been published about the short nose, many of which begin with a statement about the difficulty and complexity that this deformity poses for the rhinoplasty surgeon. Regardless of the challenges, many surgeons have undertaken the task of elongating the short nose and have subsequently shared with the rhinoplasty community the subtle techniques they have developed through their experience. The authors present a review of the literature that has contributed to the understanding of the etiology, evaluation, assessment, and operative procedures in the reconstruction of the short nose, specifically with regard to septal extension grafts. Additionally, the senior author's (BG) technique and experience of nearly 30 years of practice is described.

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Section: Surgical Optionsmentioning

confidence: 99%

Nose Elongation: A Review and Description of the Septal Extension Tongue-and-Groove Technique

Ponsky

Harvey

Khan

et al. 2010

Aesthetic Surgery Journal

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Lengthening the Short Nose

Naficy¹,

Baker²

1998

Arch Otolaryngol Head Neck Surg

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Correction of the aesthetically short nose is one of the most challenging problems in facial plastic surgery. We discuss several techniques aimed at the correction of this problem and propose an algorithm based on the desired effect of the lengthening procedure on tip rotation. Five principal techniques for nasal lengthening are discussed, with figures and cases to illustrate the concepts: (1) the flying buttress graft, which is made up of a single or paired spreader grafts secured to a columellar strut; (2) caudal septal grafts and (3) tip grafts of various shapes; (4) radix grafts placed to elevate the nasion; and (5) interposition grafts placed between the upper and lower lateral cartilages. When the tip is overrotated, small to moderate gains in nasal length may be achieved by a triangular-shaped caudal septal graft or a shield graft that is backed by wedge grafts near the tip. More substantial lengthening and derotation can be achieved by the flying buttress technique or by interposition cartilage or composite grafting between the upper and lower lateral cartilages. With a nasal tip that is adequately rotated or underrotated, nasal lengthening can be achieved by a rectangular-shaped caudal septal graft or by a full-length shield graft. An onlay graft to augment the radix and elevate the nasion to a higher point on the dorsum can be used alone or in combination with a tip or septal graft.

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Oriental Nose Elongation Using an L-Shaped Polyethylene Sheet Implant for Combined Septal Spreading and Extension

et al. 2014

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This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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Lengthening the Congenitally Short Nose

Cited by 8 publications

References 5 publications

Nose Elongation: A Review and Description of the Septal Extension Tongue-and-Groove Technique

Nose Elongation: A Review and Description of the Septal Extension Tongue-and-Groove Technique

Lengthening the Short Nose

Oriental Nose Elongation Using an L-Shaped Polyethylene Sheet Implant for Combined Septal Spreading and Extension

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