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Author's reply incision and cartilage suspension. Our early experience Recently, reports from McComb [3] and Pigott [4] demonstrated the potential long-term downsides of re- has been, I believe, better in that we have not found the cruiting lip and nostril sill tissue for columella lengthen- need for additional columellar release and feel that this ing. Three unfavorable results were noted with the ado- gain will probably come with growth over time. The technique provides excellent early columellar lengthen- lescent growth spurt: 1) the columella was too long and the nostrils were too large; 2) the nasal tip remained ing to help minimize the stigmata of the deformity in the broad, and; 3) there was drift of the columellar base and early school years, and at the same time lends itself well the lip columellar angle was transgressed by a scar. Pig- to open rhinoplasty techniques used for the later defini- ott made the additional observation that the overlength- tive repair. ening of the columella at the expense of alar dome pro- jection resulted in an unaesthetic nose at maturity. These concerns have led many surgeons to the realization that References the "extra tissue" needed for columellar lenghtening lay 1. Tajima S, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Author's reply

Tajima, S.
European Journal of Plastic Surgery , Volume 20 (1) – Jan 1, 1997
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Abstract

incision and cartilage suspension. Our early experience Recently, reports from McComb [3] and Pigott [4] demonstrated the potential long-term downsides of re- has been, I believe, better in that we have not found the cruiting lip and nostril sill tissue for columella lengthen- need for additional columellar release and feel that this ing. Three unfavorable results were noted with the ado- gain will probably come with growth over time. The technique provides excellent early columellar...
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References (4)

Publisher
Springer Journals
Copyright
Copyright © 1997 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
DOI
10.1007/BF01366521
Publisher site
See Article on Publisher Site

Abstract

incision and cartilage suspension. Our early experience Recently, reports from McComb [3] and Pigott [4] demonstrated the potential long-term downsides of re- has been, I believe, better in that we have not found the cruiting lip and nostril sill tissue for columella lengthen- need for additional columellar release and feel that this ing. Three unfavorable results were noted with the ado- gain will probably come with growth over time. The technique provides excellent early columellar lengthen- lescent growth spurt: 1) the columella was too long and the nostrils were too large; 2) the nasal tip remained ing to help minimize the stigmata of the deformity in the broad, and; 3) there was drift of the columellar base and early school years, and at the same time lends itself well the lip columellar angle was transgressed by a scar. Pig- to open rhinoplasty techniques used for the later defini- ott made the additional observation that the overlength- tive repair. ening of the columella at the expense of alar dome pro- jection resulted in an unaesthetic nose at maturity. These concerns have led many surgeons to the realization that References the "extra tissue" needed for columellar lenghtening lay 1. Tajima S,

Journal

European Journal of Plastic Surgery – Springer Journals

Published: Jan 1, 1997

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