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Correction of the Over-Projecting Nasal Tip by the Suture Technique

Correction of the Over-Projecting Nasal Tip by the Suture Technique Abstract • A simple method can be used for correcting an excessively projecting nasal tip. The technique involves suturing the anterior part of the medical crura of the alar cartilages to the posterior part of the caudal end of the septal cartilage through a transfixion incision using permanent suture material. This technique is not applicable in cases where the integrity of the caudal end of the septum is compromised. Application of this procedure may, at times, result in an undesirable widening of the alae. In such cases, full-thickness resection of the alar bases is necessary. This method of nasal tip reduction has been used in 14 cases of rhinoplasty with a follow-up period of seven to 28 months. The results generally have been satisfactory, with few complications. (Arch Otolaryngol 103:361-364, 1977) References 1. Weir RF: On restoring sunken nose without scarring the face . NY Med J 56:449-454, 1892. 2. Rees TD, Wood-Smith D: Cosmetic Facial Surgery. Philadelphia, WB Saunders Co, 1973, pp 366-379. 3. Mustarde JC: The correction of prominent ears using simple mattress sutures . Br J Plast Surg 16:170-176, 1963.Crossref 4. Berman WE: Surgery of the nasal tip . Otolaryngol Clin North Am 8:568-569, 1975. 5. Lipsett EM: A new approach to the surgery of the lower cartilaginous vault . Arch Otolaryngol 70:42-47, 1959.Crossref 6. Lewis JR: Reduction and lowering of the nasal tip , in Atlas of Aesthetic Plastic Surgery . Boston, Little Brown & Co, 1973, pp 120-123. 7. Converse JM: Corrective plastic surgery of the nose , in Paparella M, Shumrick D: Otolaryngology . Philadelphia, WB Saunders Co, 1973, vol 3, chap 32 . 8. Spina V, Kamakura L, Psillakis JM: A new method for correction of the prominent nasal tip . Plast Reconstr Surg 51:416-420, 1973.Crossref 9. Fredericks S: Tripod resection of "Pinocchio" nose deformity . Plast Reconstr Surg 53:531-533, 1974.Crossref 10. Stevenson KL (ed): The 1975 Year-Book of Plastic and Reconstructive Surgery . Chicago, Year Book Medical Publishers Inc, 1975, p 84. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Correction of the Over-Projecting Nasal Tip by the Suture Technique

Archives of Otolaryngology , Volume 103 (6) – Jun 1, 1977

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1977.00780230083014
Publisher site
See Article on Publisher Site

Abstract

Abstract • A simple method can be used for correcting an excessively projecting nasal tip. The technique involves suturing the anterior part of the medical crura of the alar cartilages to the posterior part of the caudal end of the septal cartilage through a transfixion incision using permanent suture material. This technique is not applicable in cases where the integrity of the caudal end of the septum is compromised. Application of this procedure may, at times, result in an undesirable widening of the alae. In such cases, full-thickness resection of the alar bases is necessary. This method of nasal tip reduction has been used in 14 cases of rhinoplasty with a follow-up period of seven to 28 months. The results generally have been satisfactory, with few complications. (Arch Otolaryngol 103:361-364, 1977) References 1. Weir RF: On restoring sunken nose without scarring the face . NY Med J 56:449-454, 1892. 2. Rees TD, Wood-Smith D: Cosmetic Facial Surgery. Philadelphia, WB Saunders Co, 1973, pp 366-379. 3. Mustarde JC: The correction of prominent ears using simple mattress sutures . Br J Plast Surg 16:170-176, 1963.Crossref 4. Berman WE: Surgery of the nasal tip . Otolaryngol Clin North Am 8:568-569, 1975. 5. Lipsett EM: A new approach to the surgery of the lower cartilaginous vault . Arch Otolaryngol 70:42-47, 1959.Crossref 6. Lewis JR: Reduction and lowering of the nasal tip , in Atlas of Aesthetic Plastic Surgery . Boston, Little Brown & Co, 1973, pp 120-123. 7. Converse JM: Corrective plastic surgery of the nose , in Paparella M, Shumrick D: Otolaryngology . Philadelphia, WB Saunders Co, 1973, vol 3, chap 32 . 8. Spina V, Kamakura L, Psillakis JM: A new method for correction of the prominent nasal tip . Plast Reconstr Surg 51:416-420, 1973.Crossref 9. Fredericks S: Tripod resection of "Pinocchio" nose deformity . Plast Reconstr Surg 53:531-533, 1974.Crossref 10. Stevenson KL (ed): The 1975 Year-Book of Plastic and Reconstructive Surgery . Chicago, Year Book Medical Publishers Inc, 1975, p 84.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jun 1, 1977

References