The Osseocartilaginous Vault of the Nose: Anatomy and Surgical Observations

Pálházi, Péter; Daniel, Rollin K.; Kosins, Aaron M.

doi:10.1093/asj/sju079

Cited by 133 publications

(79 citation statements)

References 4 publications

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“…Rhinoplasty also influences the shape of the nose because it may change the angle of nasal bones and the nasal apex, width, and dorsum of external nose . It is our understanding that during the performance of a forensic facial reconstruction in practice, rhinoplasty may hardly be detected, which makes the conditions of this study similar to those of reality.…”

Section: Discussionmentioning

confidence: 99%

Forensic Facial Reconstruction: Relationship Between the Alar Cartilage and Piriform Aperture

Strapasson

Herrera

Melani

2017

Journal of Forensic Sciences

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During forensic facial reconstruction, facial features may be predicted based on the parameters of the skull. This study evaluated the relationships between alar cartilage and piriform aperture and nose morphology and facial typology. Ninety-six cone beam computed tomography images of Brazilian subjects (49 males and 47 females) were used in this study. OsiriX software was used to perform the following measurements: nasal width, distance between alar base insertion points, lower width of the piriform aperture, and upper width of the piriform aperture. Nasal width was associated with the lower width of the piriform aperture, sex, skeletal vertical pattern of the face, and age. The current study contributes to the improvement of forensic facial guides by identifying the relationships between the alar cartilages and characteristics of the biological profile of members of a population that has been little studied thus far.

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Section: Discussionmentioning

confidence: 99%

Forensic Facial Reconstruction: Relationship Between the Alar Cartilage and Piriform Aperture

Strapasson

Herrera

Melani

2017

Journal of Forensic Sciences

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“…The septum thickens at its anterior end and at its osseocartilaginous interfaces to reinforce these regions [24,25]. The interface of the ULC with the nasal bones provides mechanical strength and stability to the nose [24,26]. While osseocartilaginous junctions are crucial for stability within the nose, little is known about the nature of these interfaces and whether they mirror the osteochondral interfaces present with other hyaline cartilages, such as between the articular cartilage and subchondral bone of articulating joints.…”

Section: 2: Cartilage Interfaces and Surrounding Tissuesmentioning

confidence: 99%

Toward tissue-engineering of nasal cartilages

et al. 2019

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“…The importance of maintaining a nasal valve and reconstructing the middle nasal vault immediately following hump reduction is now widely recognized among rhinoplasty experts. [1][2][3][4][5][6][7][8][9][10][11][12] The groundwork was laid by Sheen, 4 who first advocated spreader grafts for middle vault stabilization and contour enhancement. However, the more recent advent of spreader flaps has added a second option for middle vault reconstruction following hump reduction in select patients.…”

Section: Introductionmentioning

confidence: 99%

Options for Middle Vault and Dorsum Restoration after Hump Removal in Primary Rhinoplasty

Kovačević¹,

Riedel²,

Göksel

et al. 2016

Facial plast Surg

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Prevention of unfavorable sequelae following humpectomy in reduction rhinoplasty by restoration of the middle nasal vault complex today has become imperative in the majority of patients with perhaps the exception of small humps. In general, the techniques used for preservation and reconstruction of these important anatomical structures can be divided into two main categories: spreader graft and spreader flap techniques. Oversimplified spreader graft techniques require donor cartilage, whereas spreader flap techniques use the excess height of the medial portion of the upper lateral cartilages in patients with a cartilaginous hump. In principle, both donor cartilage and preserved upper lateral cartilages usually are positioned along both sides of the dorsal septum to provide natural and harmonious contours as well as to avoid functional impairment (valve collapse). However, the considerable number of publications on this topic attests to existing downsides of both surgical principles. To overcome these shortcomings, we illustrate additional modifications in the application of spreader grafts as well as spreader flaps. However, the main goal of this article is to provide an algorithm helping to decide which technique is best suited to meet the requirements of each individual patient.

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The Osseocartilaginous Vault of the Nose: Anatomy and Surgical Observations

Cited by 133 publications

References 4 publications

Forensic Facial Reconstruction: Relationship Between the Alar Cartilage and Piriform Aperture

Forensic Facial Reconstruction: Relationship Between the Alar Cartilage and Piriform Aperture

Toward tissue-engineering of nasal cartilages

Options for Middle Vault and Dorsum Restoration after Hump Removal in Primary Rhinoplasty

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