Structural Approach to Endonasal Rhinoplasty

Shah, Anil R.; Miller, Philip J.

doi:10.1055/s-2006-939953

Cited by 19 publications

(17 citation statements)

References 11 publications

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“…The nasal tip ptosis has multifactorial risk factors. In addition to esthetic significance, this deformity correction is of functional importance and is vital for nasal air flow [7].…”

Section: Discussionmentioning

confidence: 99%

“…1 Caudal extension graft tip reinforcement technique has been described in [1] Eur Arch Otorhinolaryngol between medial crural spaces. The base of the graft is placed above ANS and the edge of graft is placed under the dome and sutured to medial crura [7]. Plumping grafts of cartilage fragments, introduced into the base of the columella through a low lateral columellar incision, provide an additional platform from the strut [8].…”

Section: Surgical Techniquementioning

confidence: 99%

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Caudal extension graft versus columellar strut with plumping graft for acute nasolabial angle correction in rhinoplasty surgery

Atighechi

Sajadinejad

Baradaranfar

et al. 2014

Eur Arch Otorhinolaryngol

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Nasal tip support is an important factor to be considered in rhinoplasty surgery. There are several techniques for improving tip support. Caudal extension graft (CEG) and columellar strut with plumping graft (CSPG) are two methods in rhinoplasty surgery. The final goal of this experimental study is to find the most effective method for tip correction among patients with tip ptosis. In this study, we compare two different methods which are used for the tip correction among patients who suffer from acute nasolabial angle (NLA) and columellar retraction. We performed a randomized clinical trial to compare correction ratio of NLA and columellar show obtained via CEG and CSPG methods. Standardized photographs were taken before the surgery and 12 months after the surgery to compare results between two groups. The mean post-operation NLA was 112.55° in CEG and 104.17° in CSPG (p value < 0.001). Correction ratio of NLA was 22.26° in CEG and 13.77° in CSPG (p value < 0.001). The difference in the mean and the correction ratio of NLA were statistically significant in two groups. The mean post-operation columellar show was 3.75 mm in CEG and 3.44 mm in CSPG (p value < 0.083). The correction ratio of columellar show was 1.76 mm in CEG and 1.20 mm in CSPG (p value < 0.007). The difference in the correction ratio of the two groups was statistically significant. Our study reveals that both techniques properly improve NLA and columellar show, however, CEG is a more stable method in patients with tip ptosis.

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“…The nasal tip ptosis has multifactorial risk factors. In addition to esthetic significance, this deformity correction is of functional importance and is vital for nasal air flow [7].…”

Section: Discussionmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Caudal extension graft versus columellar strut with plumping graft for acute nasolabial angle correction in rhinoplasty surgery

Atighechi

Sajadinejad

Baradaranfar

et al. 2014

Eur Arch Otorhinolaryngol

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“…4 Since 1999, several articles have been published referring to TIG as a technique to adjust the alar-columellar relationship in cases with excess columellar show, to modify a droopy or overprojected tip, to support a septal extension graft or columellar strut graft, and to restore or enhance tip supportive mechanisms of the nasal base thereby aiding in nasal tip stability and contouring. [5][6][7][8][9][10][11][12][13] Most authors are in agreement that TIG delivers a high degree of patient satisfaction with predictable long-lasting results at the cost of few complications and limitations (►Table 1).…”

Section: History Of Tongue-in-groovementioning

confidence: 85%

The Tongue-in-Groove Technique in Primary and Revision Rhinoplasty

Datema

Lohuis

2016

Facial plast Surg

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The tongue-in-groove (TIG) is a conservative but powerful surgical suture technique to control tip rotation and projection, to set an appropriate alar-columellar relationship, to straighten a caudal septal deviation, and to stabilize the nasal base. TIG is suitable in primary and most revision cases and is easily combined with other surgical techniques. Seventeen years after its popularization, the TIG technique is embedded in modern-day rhinoplasty literature and teaching material. This article describes indications and considerations during external primary and revision rhinoplasty, based on clinical experience and the available literature.

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“…In addition to its usage to correct excessive columellar show and the droopy tip, the TIG technique can be used to provide additional lateral stability to a septal extension/ www.jcosmetmed.org columellar strut graft [13][14][15][16][17][18][19][20][21].…”

Section: Surgical Techniquesmentioning

confidence: 99%