The Cartilaginous Pollybeak: Etiology, Prevention, and Treatment

Tardy, M. Eugene; Kron, T.; Younger, Ritchie A.L.; key, M. D. B.

doi:10.1055/s-2008-1064718

Cited by 30 publications

(9 citation statements)

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“…Addressing these etiologies by the methods we described corrected the pollybeak deformity with an excellent success rate. 1,23 Excessive defatting and thinning of the skin is a very risky procedure that may result in irreversible complications as skin atrophy and necrosis. Additionally, Wright 20 and Nemati et al 24 showed that the skin defatting failed to guard against pollybeak formation.…”

Section: Discussionmentioning

confidence: 99%

Pollybeak Deformity in Middle Eastern Rhinoplasty: Prevention and Treatment

Hussein

Foda

2016

Facial plast Surg

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The pollybeak deformity is one of the commonest causes of revision rhinoplasty. The Middle Eastern nose has certain criteria that predispose to the development of pollybeak deformity. The aim of this study is to detect the factors contributing to the development of pollybeak deformity in the Middle Eastern nose and methods used to prevent as well as to treat such deformity. Out of the 1,160 revision patients included in this study, 720 (62%) patients had a pollybeak deformity. The commonest contributing factors included underprojected tip with poor support in 490 (68%) patients, excessive supratip scarring in 259 (36%) patients, overresected bony dorsum in 202 (28%) patients, and high anterior septal angle in 173 (24%) patients. The methods used by the authors to treat the pollybeak deformity are described, along with the local steroid injection protocol used to guard against the recurrence of pollybeak deformity.

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Section: Discussionmentioning

confidence: 99%

Pollybeak Deformity in Middle Eastern Rhinoplasty: Prevention and Treatment

Hussein

Foda

2016

Facial plast Surg

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“…A dependent tip is a passive phenomenon that causes an acute nasolabial angle, which in turn results from weak support mechanisms of the nasal tip. Tardy et al 11 described three major and six minor tip-support mechanisms. The three major support mechanisms are the shape, size, and resilience of the lateral and medial crura; the attachment of the lower lateral cartilages to the caudal border of the upper lateral cartilages; and the attachment of the medial crural footplate to the caudal border of the quadrangular cartilage.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of the Nasolabial Angle in Balanced Rhinoplasty

Pearlman

2006

Facial plast Surg

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Aesthetic rhinoplasty is a complex surgical procedure that contains numerous components; when performed harmoniously, it should yield a successful, balanced result. The process begins with a comprehensive nasal analysis and surgical planning. Many surgeons concentrate on altering the nasal dorsum and nasal tip but may ignore potential contributions to overall appearance from the caudal nasal septum and nasal spine. One of the key parameters for evaluation and aesthetic treatment of the nose is the nasolabial angle. The nasal spine, caudal septum, and the medial crura of the lower lateral cartilages provide the framework for this area. Alteration of these structures, as well as nasal tip rotation and projection, may affect the resultant nasolabial angle, length of the upper lip, and overall harmony of the nose. Fullness at the nasolabial junction by a pushing philtrum may also result in an unbalanced appearance. The literature is replete with methods for categorizing the nasal tip and recommended surgical treatments. Treatment of the caudal septum and the nasal spine is often an afterthought that is left to the aesthetic judgment of the surgeon. A chart-with recommended treatment for the caudal septum and nasal spine following appropriate profile analysis-is included in the interest of a more systematic process. The chart takes account of the length of the nose, nasolabial angle, and possible presence of a pushing philtrum with suggested treatments to allow for proper tip placement and aesthetic balance to the nose. Adherence to this process provides a valuable tool for assuring a harmonious result in rhinoplasty.

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“…9,12 Failure to adequately resect cartilaginous dorsum may result in a pollybeak deformity. 3,9,10,11,12,13 Asymmetries of the nasal tip may be due to unequal reduction of the lower lateral cartilages, or from asymmetric application of dome-binding sutures. 9 It may also be caused by unequal scarring that can occur during the natural healing process and may not be evident for months or even years after surgery.…”

Section: General Considerationsmentioning

confidence: 99%