An Analysis of Lateral Crural Repositioning and Its Effect on Alar Rim Position

Paquet, Christian; Choroomi, Sim; Frankel, Andrew S.

doi:10.1001/jamafacial.2015.1625

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…Care should be taken when opening a new pocket in the area to be repositioned and should be done if experienced. Because if the pocket is opened large, the lateral crus placed in its new place may come off or slide into the cephalic, if it is small, it may fold over itself and cause deformity 8,16,17. Ilhan et al,18 who frequently perform lateral crus reposition surgery, stated that the disadvantage of lateral crus repositioning was the dislocation of the lateral crus placed in the newly formed pocket.…”

Section: Discussionmentioning

confidence: 99%

“…Because if the pocket is opened large, the lateral crus placed in its new place may come off or slide into the cephalic, if it is small, it may fold over itself and cause deformity. 8,16,17 Ilhan et al, 18 who frequently perform lateral crus reposition surgery, stated that the disadvantage of lateral crus repositioning was the dislocation of the lateral crus placed in the newly formed pocket. Although this is a situation that all surgeons who perform repositioning surgery should pay attention to, the dislocated lateral crus may be overlooked or not understood because it is placed in a closed area covered by the skin.…”

Section: Discussionmentioning

confidence: 99%

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Lateral Suspension Technique in Treatment of Lateral Crus Malposition Belada Technique

Belada

2022

Journal of Craniofacial Surgery

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Lateral crus malposition can cause health problems from both functional and esthetic perspectives. Recently many techniques are developed to solve this problem. One of the failures that can be seen in these surgical techniques is that the lateral crus placed in its new position is shifted to the cephalic and is dislocated. Our aim in this study is to introduce the technique authors developed to prevent complications. 16 patients (10 female and 6 male) with a lateral crus malposition during rhinoplasty surgery were included in the study to have a reposition. The suture placed on the caudal end of the lateral crural strut graft attached to the lateral crus, which authors freed from the vestibule skin for repositioning in our patients operated with an open technique, is fixed by taking it out from the skin through the newly created pocket. The lateral crus, which was fixed with a suture in its new pocket, did not dislocate, did not shift to cephalic and no infection developed in any of our patients. In 1 of our patients, a second surgery was planned because the inserted lateral crural strut graft caused a narrowing in the nasal cavity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lateral Suspension Technique in Treatment of Lateral Crus Malposition Belada Technique

Belada

2022

Journal of Craniofacial Surgery

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“…6 25 26 27 28 Meanwhile, the main and most effective techniques remain the classic repositioning and alar grafts. 29 30 31 32 The proper use of repositioning and alar grafting can bring the desired shadowing of nasal tip. 7 Selection of the best correction method for each patient must be based on the patient's needs; it should provide stability as well as best surface aesthetics for each patient.…”

Section: Discussionmentioning

confidence: 99%

Inaccuracy of Standard 2D Photography for the Diagnosis of Cephalic Malposition of Lateral Crural Cartilages

2021

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Lateral crural cephalic malposition (LCCM) is a well-known deformity of the nasal tip which contributes to functional disturbances of the external nasal valve. Accurate diagnosis of this deformity helps surgeons plan for better outcomes. A total of 176 candidate patients for primary rhinoplasty underwent standard 2D medical photography of the face. Senior authors analyzed photography results and differentiated the patients with LCCM. In addition, we measured the angle between the dorsal septum and lateral end of the long axis of the alar cartilage in the operation room. Ninety-five patients were diagnosed with LCCM on photography. As much as 31.3% (55) of all the patients had LCCM in intraoperative measurements. The sensitivity and specificity of 2D photography for diagnosing LCCM were 0.7924 and 0.5391, respectively. The main surgical techniques for correction of LCCM were alar repositioning (34.3% in total, 56% in LCCM patients) and lateral crural strut graft (43.8% in total, 69% in LCCM patients). LCCM is overdiagnosed via 2D photography, and this method lacks sensitivity. The overall frequency of LCCM seems to be lower than the previously reported frequency. For optimal results in rhinoplasty, surgeons must focus on the best contouring and function rather than solely correcting angles and rotations.

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“…Our philosophy for repositioning the cephalically malpositioned LLC shares details with previously described techniques: establishing a strong and stable central tip support at the nasal base (with a septal extension graft, tongue-in-groove, and columellar strut), complete release of the LLC, and creation of precise pockets in the soft tissue envelope of the alar rim, with accurate placement of the LLC. 10,11,22 We have found that lateral crural strut grafts are often not required, without compromising tip support. We also present a new concept to increase the structural stability of the LLC through the caudal turn-in flap.…”

Section: Discussionmentioning

confidence: 99%

Management of the Cephalically Malpositioned Lower Lateral Crus in Aesthetic Rhinoplasty

et al. 2017

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Cephalic malposition of the lower lateral cartilages (LLC) gained increasing awareness as a distinct anatomical entity within the last years. It has become clear that this type of deformity is not amenable to traditional rhinoplasty techniques. Repositioning of the lateral crus of the LLC enables the surgeon to achieve significant and reliable changes in the shape and function of the nose. The authors present their technique for repositioning of the cephalically malpositioned LLC. Their method is based on a turn-in flap that is positioned along the caudal margin of the repositioned LLC. This flap straightens a convex LLC and gives reliable structural support to the caudal alar margin. In this article, they discuss the various indications of this technique, introduce a new, more precise concept for evaluation of the axis of the lateral crus of the LLC, and highlight additional details of this reliable technique.

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An Analysis of Lateral Crural Repositioning and Its Effect on Alar Rim Position

Cited by 8 publications

References 10 publications

Lateral Suspension Technique in Treatment of Lateral Crus Malposition Belada Technique

Lateral Suspension Technique in Treatment of Lateral Crus Malposition Belada Technique

Inaccuracy of Standard 2D Photography for the Diagnosis of Cephalic Malposition of Lateral Crural Cartilages

Management of the Cephalically Malpositioned Lower Lateral Crus in Aesthetic Rhinoplasty

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