Transfixion incision as an initial technique in nasal tip deprojection

Solomon, P; Rival, R; Mabini, A; Boyd, J

doi:10.4172/plastic-surgery.1000589

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…In our study, marginal incisions had been done for 70% of patients, inter-cartilagenous incisions had been done for 30%, trans-fixation incisions had been done for 20%, and trans-cartilagenous incisions had been done for 10% of patients. P. Solomon et al reported 72 patients (100%) with transfixion incision alone for assessment of the effect of transfixation incision on nasal tip deprojection, because a full transfixion incision disrupts the attachment of the medial crura to the caudal septum, which weakens nasal tip support, resulting in deprojection of the tip (14).…”

Section: Resultsmentioning

confidence: 99%

Concepts and Techniques of Nasal Tip Surgery

Hodges¹,

Tantawy

Omran

et al. 2013

Zagazig University Medical Journal

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Background: Rhinoplasty is one of the most challenging procedures in plastic surgery. It is technically demanding, and tip surgery is an art form. It requires an in-depth knowledge of the complex three-dimensional anatomy of the nose, a complete understanding of its physiology, familiarity with the described techniques of nasal tip surgery, and a well-developed sense of aesthetics. Aim of the work: This article will describe different techniques used to create a refined, aesthetically pleasing nasal tip. Patients and methods: The patients in this study were selected from of Dr John Hodges, M.D' Office, Veterans Hospital, and Methodist hospital, USA, and Zagazig University hospital, Egypt. The study was carried out on 50 patients with different nasal tip deformities, who underwent rhinoplasty, they were 15 males and 35 females, their age ranging from 20 to 60 years old. Two approaches had been selected; an open approach had been done for 30% of our patients, and a closed approach had been done for 70% of our patients with different nasal tip techniques. Results: The results of this study for nasal tip refinement techniques demonstrated a decrease in reductive and irreversible techniques as cartilage transection, domal truncation , morselization, and scoring that had been done in 8% of our patients for each, with a concurrent increase in stabilizing, strengthening, and reorientation techniques as sutures and grafts techniques that had been done in 60% of our patients for each; so cartilage-dividing techniques and the vertical dome division are rarely necessary to reduce projection, broadness, and/or rotation of nasal tips, they have been used if suture and graft techniques do not achieve the adequate nasal tip definition. Conclusion: The simplest approach for refinement of nasal tip deformity that allows the planned surgical techniques to be performed without difficulty and cause the least disturbance to the tip's support, should be selected. Thus, we recommend the reversible, non destructive techniques as sutures and tip grafts for remodeling the tip deformities, with closed approach once indicated.

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Section: Resultsmentioning

confidence: 99%

Concepts and Techniques of Nasal Tip Surgery

Hodges¹,

Tantawy

Omran

et al. 2013

Zagazig University Medical Journal

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“…[13,20] Since the connection between the septum and medial crura is completely cut-off in cases with transfusion incisions, the nasal tip support becomes weak resulting in de-projection of the tip. [21] In classical septoplasty, unilateral hemitransfixion incision is performed, whereas bilateral transfixion incision is often performed in combination with intercartilaginous or intracartilaginous incision in the closed septorhinoplasty technique. [11,22] Although transfixion incision has been considered general overall approach for many years in closed rhinoplasty cases, hemitransfixion incision has currently gained ground as the technique of choice.…”

Section: Discussionmentioning

confidence: 99%

Two-level septocolumellar suture technique in closed septorhinoplasty

Demirbilek¹

2019

KBB Uygulamaları

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Bu çalışmada iki seviyeli septokolumellar sütür tekniğinin kapalı septorinoplasti üzerine etkisi araştırıldı. Hastalar ve Yöntemler: Ocak 2016-Haziran 2017 tarihleri arasında, iki seviyeli septokolumellar sütür tekniği kullanılarak strut greft kullanılmaksızın kapalı septorinoplasti yapılan toplam 45 hasta (28 kadın, 17 erkek; ort. yaş 29.2±10.3 yıl; dağılım, 18-55 yıl) çalışmaya alındı. Sütür materyali olarak emilebilir 4.0 Vicryl sütür kullanıldı. Ameliyat öncesi ve ameliyat sonrası 6. ayda burun tıkanıklığını derecelendirmek için görsel analog ölçeği (GAÖ) kullanıldı. Bulgular: Bir hastada burun tıkanıklığına ve estetik deformiteye neden olmayan ameliyat sonrası redeviasyon görüldü. Hastaların hiçbirinde majör veya minör fonksiyonel ve estetik deformite gözlenmedi. Ameliyat öncesi ve sonrası GAÖ skoru, sırasıyla 7.3±1.7 ve 1.6±1.9 idi (p<0.0001). Sonuç: Çalışma bulgularımız iki seviyeli septokolumellar tekniğin, kapalı septorinoplasti yapılan olgularda septumun orta hatta kolayca tutulmasında çok etkili olduğunu ve burun ucu desteği sağladığını ve alar tabanının simetrisini bozmadığını göstermektedir.

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“…24 One study found that a full transfixion alone reduces projection by 1.4 to 2.1 mm, depending on skin thickness. 44 Similarly, violation of the scroll support with a cephalic trim and anterior septal angle reduction will further deproject the nose. 37,45 Petroff and associates caution against excessive operative deprojection, supported by their intraoperative and postoperative findings.…”

Section: Overprojected Nosementioning

confidence: 99%

Cosmetic Rhinoplasty

Boustany¹,

Grover²,

Alnaeem³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Perform a systematic nasofacial analysis. 2. Identify the underlying anatomical cause of specific external nasal findings. 3. Recognize the interrelated effects of operative maneuvers. 4. Develop an appropriate operative plan to address patient concerns. Summary: The rhinoplasty operation is one of the most challenging procedures in plastic surgery, and requires a combination of surgical judgment, knowledge of anatomy, technical skill, and lifelong study. A foundation must be built on clearly defined patient goals and an accurate diagnosis, based on known ideals and their anatomical correlation. It is important to recognize the definitive impact of each operative maneuver to achieve predictable outcomes. This article provides a problem-based approach to common cosmetic nasal deformities.

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Transfixion incision as an initial technique in nasal tip deprojection

Cited by 5 publications

References 8 publications

Concepts and Techniques of Nasal Tip Surgery

Concepts and Techniques of Nasal Tip Surgery

Two-level septocolumellar suture technique in closed septorhinoplasty

Cosmetic Rhinoplasty

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