Percutaneous Suspension Sutures to Change the Nasal Tip

Fernandes, Marcos

doi:10.5772/56249

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Transcutaneous suture tip plasty or rhinoplasty is being used to reshape the nose without disturbing the skin envelope. As the bony vault and the nasal bridge width cannot be changed with this technique, Des Fernandes 10 defines the perfect patient as having no concerns about the bridge width and not having a dorsal hump.…”

Section: Discussionmentioning

confidence: 99%

“…The refinement of a wide nasal tip or broader lower lateral cartilages could be achieved with this technique. Des Fernandes 10 described 2 modifications of this technique to narrow the nasal tip: (1) The suspension suture could be deviated laterally toward the maximum width seen in the frontal view, and (2) if the first modification was not sufficient, a second shorter suture passing through the septum above the lower lateral cartilages and then around them to create a more defined, finer tip could be placed. Serdev 8 suggested that nasal tip rotation is most useful in Asian and Afro-American noses; however, in Caucasians with a hard septum, the tip could not be lifted by a suspension suture, and the T-excision and columella sliding technique described by the author could be necessary.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transcutaneous Suture Tip Plasty: The Technique and Outcomes

Turhal

Benzer

Şahin

et al. 2019

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Purpose: Radical resections and invasive techniques have been mostly replaced with more conservative techniques. The aim of this study was to assess the objective and the subjective functional and aesthetic outcomes of transcutaneous suture tip plasty. Methods: A total of 20 patients were included in the study. Patients were treated with transcutaneous suture tip plasty. Functional results were assessed with pre- and postoperative 6-month Sino-Nasal Outcome Test (SNOT-22) and acoustic rhinometry. The pre- and postoperative 6-month mean values of first minimal cross-sectional area (MCA1), second minimal cross-sectional area (MCA2), the distance from the tip of the probe to the first minimal cross-sectional area, the distance from the tip of the probe to the second minimal cross sectional area, nasal volume 1, and nasal volume 2 were measured. Facial analysis was made with the Rhinobase software, designed for facial analysis. Results: The mean pre- and postoperative SNOT-22 scores were 25.55 ± 6.64 and 15.70 ± 8.11, respectively ( P < .05). The mean pre- and postoperative nasolabial angles were 82.26º ± 5.69º and 101.47º ± 7.70º, respectively ( P < .05). The mean pre- and postoperative nasofrontal angles were 144.30º ± 3.81º and 138.25º ± 3.26º, respectively ( P < .05). The mean pre- and postoperative nasal length was 54.22 ± 4.62 mm and 49.95 ± 2.75 mm, respectively ( P < .05). The mean pre- and postoperative tip projection was 25.77 ± 3.64 mm and 28.40 ± 2.97 mm, respectively ( P < .05). Only postoperative MCA2 values on the right and left side were significantly different from preoperative MCA2 values ( P < .05). None of the remaining postoperative acoustic rhinometry scores significantly differed from preoperative scores. Two patients (10%) required revision at around 1 month after surgery due to suture loosening and breakage. Conclusions: Especially in the era of minimal invasive surgery, transcutaneous suspension tip plasty is promising, with rapid and reliable functional and cosmetic results. Further studies with longer follow-up durations are needed to assess the long-term outcomes of this technique.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%