Correction of Pollybeak and Dimpling Deformities of the Nasal Tip in the
                        Contracted, Short Nose by the Use of a Supratip Transposition Flap

Jung, Dong-Hak; Lin, Ray Yung-Chiou; Jang, Hyeong-Jun; Claravall, Henry John; Lam, Samuel M.

doi:10.1001/archfaci.2009.60

Cited by 6 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The skin-soft-tissue envelope may become scarred and inelastic due to the alloplast implant used for dorsal augmentation. Although scar tissue may develop with the implant in situ or as a sequelae of implant removal, [15][16][17] we recommend removing any foreign body to minimize inflammation. If the alloplastic implant was removed due to infection or other reasons, revision rhinoplasty was performed at least 6 months after implant removal in our series for scar remodeling and maturation.…”

Section: Discussionmentioning

confidence: 99%

Short Nose Lengthening in Primary and Revision Rhinoplasty in Asians

Liang

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Background: Surgical techniques and graft materials are important factors for short nose lengthening in both primary and revision rhinoplasty in Asian patients. Other subunit of the nose need to be improved as well to achieve aesthetic perfection. Materials and Methods: A cohort of 98 patients who underwent primary and revision rhinoplasty for moderate to severe short nose deformity from January 1, 2019, to December 31, 2020, were enrolled. Nasal elongation was achieved via an open rhinoplasty approach using autologous costal cartilage exclusively for grafting. Aesthetic outcomes were evaluated by anthropometric measurement and satisfaction assessment from patients and physicians. Results: The mean duration of follow-up was 10.6 months. In both primary and revision cases, nasal length relative to preoperative measurements increased significantly, while nasal tip projection did not differ significantly. Columellar-facial angle and nasofrontal angle decreased significantly in both groups. Both physicians and patients reported improvement in aesthetic outcomes. Conclusions: Aesthetic satisfaction was reported from both patients and physicians. Autologous costal cartilage is an ideal graft material that offers strong structural support. Caudal septal extension graft using autologous costal cartilage sandwiched by extended spreader grafts achieve satisfactory lengthening of the central compartment and also increase nasal tip projection and rotation.

show abstract

Section: Discussionmentioning

confidence: 99%

Short Nose Lengthening in Primary and Revision Rhinoplasty in Asians

Liang

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

Lengthening the Short Nose in Asians

Park

Mangoba

Mun

et al. 2013

JAMA Facial Plast Surg

View full text Add to dashboard Cite

IMPORTANCE Using objective anthropometric measurement, this study reports the outcome of surgical correction of short-nose deformities in Asian patients. OBJECTIVE To present our experience in lengthening the short nose in Asians and report the surgical results. DESIGN, SETTING, AND PATIENTS In this retrospective review, we study the cases of 36 patients who underwent surgical correction of short-nose deformity. The effect of nasal lengthening was analyzed using anthropometric measurement, including nasion to tip-defining point (N-TDP), nasal tip projection (NTP), nasofrontal angle (NFA), and columellar-facial angle (CFA). EXPOSURES Surgical correction of short-nose deformity. MAIN OUTCOME MEASURES The preoperative and postoperative N-TDP, NTP, NFA, and CFA and patient satisfaction. RESULTS The mean postoperative follow-up duration was 29.8 months. The cause of the short nose was congenital in 18 cases and secondary to previous rhinoplasty in 18 cases. Septal tissue, conchal cartilage, costal cartilage, and conchal composite tissue were used as graft materials. The key procedures for lengthening included septal extension graft reinforced with extended spreader, dorsal onlay, and tip grafts. The N-TDP increased by 11.2%, and CFA decreased from 122.6°to 111.1°. The NFA changed from 148.9°to 148.5°. The NTP ratio, measured using the Goode method, decreased from 0.53 to 0.50. The increase of N-TDP was greater in patients undergoing the costal cartilage grafting procedure than in those who received septal or conchal cartilage. All patients were satisfied with the aesthetic results, and there were no serious complications. CONCLUSIONS AND RELEVANCE In Asians, the key maneuvers for lengthening were septal extension graft reinforced with extended spreader and dorsal onlay graft. Rib cartilage provided superior lengthening effect compared with other cartilage. LEVEL OF EVIDENCE 4.

show abstract

Role of steroid injection for skin thickness and edema in rhinoplasty patients

Aydın¹,

Yücel

Akçalar

et al. 2021

Laryngoscope Investig Oto

View full text Add to dashboard Cite

Objectives The aim of this study was to observe the effect of the triamcinolone acetonide injections in thick skinned patients with ultrasonographic measurements and to compare these results with the postoperative nasal skin thickness of patients that were not injected with steroids. Methods A prospective study was planned with 42 thick nasal skinned rhinoplasty candidates in our clinic. Skin thickness of specific points along nose was measured and documented. On the 10th day after surgery, triamcinolone acetonide injections were performed into the supratip region of 21 patients in the study group. No injections were made for the control group. Nasal ultrasonographic measurements were repeated 40 days after the surgery for all 42 patients by the same radiologist and results were evaluated. Results Seventeen women (40.5%) and 25 men (59.5%) were included in the study. Patients' ages ranged from 18 to 53 with an average age of 27.9. In study group, all injections sites showed thinning on the 40th day after surgery. These findings were statistically significant at B (rhinion), D (middle of supratip), and G (middle of the tip). In the control group, all injection sites except A (nasion) displayed thickening on the 40th day after surgery. These findings were statistically significant at B (rhinion), D (middle of supratip), H (left side of the tip), and J (left alar region). Conclusion Triamcinolone acetonide injections are effective in the prevention of edema and provide thinning of the post‐rhinoplasty skin envelope.

show abstract

Correction of Pollybeak and Dimpling Deformities of the Nasal Tip in the Contracted, Short Nose by the Use of a Supratip Transposition Flap

Cited by 6 publications

References 18 publications

Short Nose Lengthening in Primary and Revision Rhinoplasty in Asians

Short Nose Lengthening in Primary and Revision Rhinoplasty in Asians

Lengthening the Short Nose in Asians

Role of steroid injection for skin thickness and edema in rhinoplasty patients

Contact Info

Product

Resources

About