Background:Patient’s pursuing aesthetic surgery often inquire about the success of the procedure. Having objective data for these patients improves preoperative counseling. To assess patient satisfaction after aesthetic chondrolaryngoplasty using specifically developed outcomes assessment instrument and to evaluate the anatomy of the vocalis insertion on the thyroid cartilage and its effect on the extent of surgical resection.Methods:Retrospective survey of patients who underwent chondrolaryngoplasty from 2006 to 2012. Patients answered 6 questions on a 5-point Likert scale assessing satisfaction from a physical, emotional, and social quality of life perspective. We separately undertook cadaveric dissection to examine the ligamentous attachment of the vocal fold to the thyroid cartilage.All patient were seen in a private practice affiliated with a university medical center.One hundred ninety-eight patients underwent chondrolaryngoplasty during the study period; we were able to contact 112.The main outcome measure is patient satisfaction using a 5-point Likert Scale.Results:Sixty percentage of patients were either “very” or “completely” satisfied with the appearance of their neck and Adam’s apple. Only 13% still reported that their neck/Adam’s apple still appeared unsatisfactorily prominent or masculine. No patients had permanent voice change, and greater than 90% of patients had no significant voice change of any duration; any voice change was temporary. The most frequent comments from less satisfied patients were the amount of remaining prominence and the size or location of the scar.Conclusions:Aesthetic chondrolaryngoplasty is a safe and effective surgery to reduce the prominence of the thyroid cartilage. Patients should be aware that because of the need to preserve voice it may not be 100% effective from an aesthetic perspective.

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Drs Insalaco and Spiegel had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

IMPORTANCEThe lateral crural overlay technique is a powerful technique for altering nasal tip projection and rotation. By overlapping and thus shortening the lateral crura, the nasal tip is shortened and rotated upward, thus decreasing projection and increasing rotation. There is no data to show the association of this technique with the strength of the lower lateral cartilage. Strengthening of the lower lateral cartilages would presumably lead to resistance to external nasal valve collapse and improved airway.OBJECTIVE In this cadaver study, we set out to determine the differences in the strength and resilience of the lateral crura after performing lateral crural overlay using 2 different techniques.DESIGN, SETTING, AND PARTICIPANTS Seven individual lower lateral cartilages were harvested from 6 cadavers for analysis. Each of the 7 cartilages was included sequentially in 3 test groups in the following order: a preprocedure group (preP), a postprocedure group (postP) in which the lateral crural overlay technique was performed, and a postprocedure with glue group (postPG) in which cyanoacrylate glue was added to the postP cartilages to simulate cartilage healing. A force gauge was used to measure the force required to deflect the lower lateral cartilages distances from 1 to 6 mm. MAIN OUTCOMES AND MEASURESDifferences measured in newtons (N) for strength and resilience of lateral crura between the preP, postP, and postPG groups.RESULTS A statistically significant increase in lower lateral cartilage resilience was noted between the preP and postPG groups at all distances of tip deflection (1 mm, 0.20 vs 0.70 N;

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