Tip rhinoplastic operations using a transverse columellar incision

Vogt, T

doi:10.1007/bf01570530

Cited by 25 publications

(9 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The m. compressor narium minor runs from the area of the genu of the alar cartilage to the integument of the very tip of the nose. It is likely that there is considerable variation in the nasal muscular anatomy of this area, but in many individuals, clinical and peroperative evidence of muscular presence near the tip of the nose is found [12,13,15].…”

Section: The Intrinsic Muscles: History Comes To the Rescuementioning

confidence: 99%

See 1 more Smart Citation

The lost muscles of the nose

Hoeyberghs¹,

Desta²,

Matthews³

1996

Aesth. Plast. Surg.

View full text Add to dashboard Cite

This is a review of the muscular anatomy of the nose. Areas of inconsistency in the main anatomy texts are highlighted and concentrate particularly on the omission of three identifiable muscles from modern textbooks. Two topographical areas of the nose in need of further anatomical development are identified. In a sample of 121 subjects from the general population, 40% were found to be incapable of flaring the nostrils voluntarily or subconsciously in conjunction with energetic inspiration with the mouth closed. The authors recommend systematic clinical assessment of the nasal musculature be incorporated in the pre- and postoperative examination of the rhinoplasty patient. The division of the nose into five sections for assessment is proposed and the muscles contributing to each area are defined together with their individual surgical relevance.

show abstract

Section: The Intrinsic Muscles: History Comes To the Rescuementioning

confidence: 99%

“…The depressor septi can be considered as intrinsic, running mainly in the area of the nasal spine and collumella and affecting tip position [11,13].…”

Section: The Intrinsic Muscles: the Modern Versionmentioning

confidence: 99%

The lost muscles of the nose

Hoeyberghs¹,

Desta²,

Matthews³

1996

Aesth. Plast. Surg.

View full text Add to dashboard Cite

show abstract

“…We claim that the best analyzed scar shape is represented by the Vscar, with the incisions properly positioned, i.e. far from the base of the nose, in accordance with medical evidence (Gunter, 1997;Nolst, 2005;Toriumi et al, 1999;Celik et al, 2003;Voight, 1983). The surgical issues of wound orientation with respect to tension lines, wound shape and geometry so as to minimize scarring has been usually addressed from a mechanochemical point of view and at the cellular scale (Dale et al, 1995;Olsen et al, 1995).…”

Section: Discussionmentioning

confidence: 83%

“…Although the shape of the incision may vary, geometric-type incisions, with multiple corners, are preferred to prevent long scar segments and facilitate flap alignment. Final scars with these types of incisions are qualitatively superior to horizontal or transverse I scars (Voight, 1983).…”

mentioning

confidence: 99%

Computational modeling and stress analysis of columellar biomechanics

Gizzi

Cherubini

Pomella

et al. 2012

Journal of the Mechanical Behavior of Biomedical Materials

View full text Add to dashboard Cite

“…The columella scar occurrence in open rhinoplasty has been described from nonexistent 12,13 to as high as 22%. 14 Several recommendations are given to improve the columella scar.…”

Section: Discussionmentioning

confidence: 99%

Anatomic Basis of Notch Deformity in Open Rhinoplasty

Gamboa

Shayani

Schmid

et al. 2003

Annals of Plastic Surgery

View full text Add to dashboard Cite

Notch deformity at the columella after the stairstep incision is an unsightly sequel that fuels negativism for open rhinoplasty critics. Obvious causes cited include surgical misadventures involving division of the foot of the medial crus and poor healing. The authors offer yet an additional etiology based on the contraction distortion caused by the depressor septi nasi muscle. The purpose of this study is to investigate the anatomic basis for notch deformity after stairstep technique in open rhinoplasty. For this anatomic study, 10 fresh cadavers were used. Dissections were performed, exposing the columellar components. The macroscopic and microscopic photo documentation gathered supports the authors' theory that depressor septi nasi action causes skin-edge deformation that leads to closure malalignment and notch deformity. Pre-incision landmark defining tattoo or sutures will assure proper alignment at closure.

show abstract

Tip rhinoplastic operations using a transverse columellar incision

Cited by 25 publications

References 1 publication

The lost muscles of the nose

The lost muscles of the nose

Computational modeling and stress analysis of columellar biomechanics

Anatomic Basis of Notch Deformity in Open Rhinoplasty

Contact Info

Product

Resources

About