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Non-suture and Non-grafting Techniques in Nasal Tip Rhinoplasty

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Abstract

Apart from sutures and grafts, there are non-suture and non-grafting techniques available to achieve alterations in the tip definition, projection and rotation. Trimming the cephalic portion of the lateral crus is the commonest non-suture and non-grafting technique performed in nasal tip surgery.

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References

  1. Sil A, Ravichandran S, Balaji N. Non- suture techniques in posttraumatic nasal tip reconstruction. ENT Audiol News. 2010;19(2):109–12.

    Google Scholar 

  2. Balaji N. Non-suture techniques in nasal tip reconstruction. Rom J Rhinol. 2014;4(13):37–44.

    Google Scholar 

  3. White PS, Ross PD. Open structure rhinoplasty. 2nd ed. Tuttlingen, Germany: Endo Press GmbH; 2012.

    Google Scholar 

  4. Nagarkar P, Stark RY, Pezeshk RA, Amirlak B, Rohrich RJ. Role of the cephalic trim in modern rhinoplasty. Plast Reconstr Surg. 2016;137(1):89–96.

    Article  CAS  PubMed  Google Scholar 

  5. Gruber RP, Weintraub J, Pomerantz J. Suture techniques for the nasal tip. Aesthet Surg J. 2008;28(1):92–100.

    Article  CAS  PubMed  Google Scholar 

  6. Rohrich RJ, Deuber MA. Nasal tip refinement in primary rhinoplasty: the cephalic trim cap graft. Aesthet Surg J. 2002;22(1):39–45.

    Article  PubMed  Google Scholar 

  7. Kridel RWH, Konior RJ. Controlled nasal tip rotation via the lateral crural overlay technique. Arch Otolaryngol Head Neck Surg. 1991;117:411–5.

    Article  CAS  PubMed  Google Scholar 

  8. Foda HM, Kridel RW. Lateral crural steal and lateral crural overlay: an objective evaluation. Arch Otolaryngol Head Neck Surg. 1999;125(12):1365–70.

    Article  CAS  PubMed  Google Scholar 

  9. Okhovat S, Balaji N. An algorithm for the management of lateral crural pathology. J ENT Master Class. 2018;11(1):45–53.

    Google Scholar 

  10. Foda HM. Management of the droopy tip: a comparison of three alar cartilage-modifying techniques. Plast Reconstr Surg. 2003;112(5):1408–17.

    Article  PubMed  Google Scholar 

  11. Kridel RW, Konior RJ, Shumrick KA, Wright WK. Advances in nasal tip surgery. The lateral crural steal. Arch Otolaryngol Head Neck Surg. 1989;115(10):1206–12.

    Article  CAS  PubMed  Google Scholar 

  12. Goldman IB. Surgical tips on the nasal tip. Eye Ear Nose Throat Mon. 1954;33:583–91.

    CAS  PubMed  Google Scholar 

  13. Goldman IB. The importance of the mesial crura in nasal-tip reconstruction. Arch Otolaryngol. 1957;65:143–7.

    Article  CAS  Google Scholar 

  14. Simons RL. Vertical dome division in rhinoplasty. Otolaryngol Clin North Am. 1987;20:785–96.

    CAS  PubMed  Google Scholar 

  15. Chang CWD, Simons RL. Hockey-stick vertical dome division technique for overprojected and broad nasal tips. Arch Facial Plast Surg. 2008;10(2):88–92.

    Article  PubMed  Google Scholar 

  16. Ghidini A, Dallari S, Marchioni D. Surgery of the nasal columella in external valve collapse. Ann Otol Rhinol Laryngol. 2002;111(8):701–3.

    Article  PubMed  Google Scholar 

  17. Apaydin F. Lateral crural turn-in flap in functional rhinoplasty. Arch Facial Plast Surg. 2012;14(2):93–6.

    Article  PubMed  Google Scholar 

  18. Balaji N, Ravichandran S. Assessment of nasal valve obstruction : a new Glasgow nasal “wall” subunit concept. ENT Audiol News. 2012;21(5):86–7.

    Google Scholar 

  19. Gruber RP. Primary open rhinoplasty. In: Gruber RP, Peck GC, editors. Rhinoplasty: state of the art. St Louis: Mosby Year Book; 1993. p. 61–88.

    Google Scholar 

  20. Kuran I, Öreroğlu AR, Efendioğlu K. The lateral crural rein flap: a novel technique for management of tip rotation in primary rhinoplasty. Aesthet Surg J. 2014;347:1008–17.

    Article  Google Scholar 

  21. Ozucer B, Ozturan O. Comments on “the lateral crural rein flap: a novel technique for management of tip rotation in primary rhinoplasty”. Aesthet Surg J. 2015;355:NP125.

    Article  Google Scholar 

  22. Bertossi D, Walter C, Nocini PF. The pull-up spreader high (PUSH) technique for nasal tip support. Aesthet Surg J. 2014;348:1153–61.

    Article  Google Scholar 

  23. Bohluli B, Varedi P, Nazari S, Bagheri SC. Lateral crural suspension flap: a novel technique to modify and stabilize the nasolabial angle. J Oral Maxillofac Surg. 2013;719:1572–6.

    Article  Google Scholar 

  24. Guyuron B, Varghai A. Lengthening the nose with a tongue-and-groove technique. Plast Reconstr Surg. 2003;111:1533–9.

    Article  PubMed  Google Scholar 

  25. Kridel RWH, Scott BA, Foda HMT. The tongue-in-groove technique in septorhinoplasty:a ten year experience. Arch Facial Plast Surg. 1999;1:246–56.

    Article  CAS  PubMed  Google Scholar 

  26. Sheen JH. Aesthetic rhinoplasty. St Louis: CV Mosby; 1978. p. 264–5.

    Google Scholar 

  27. Mohebbi A, Azizi A, Tabatabaiee S. Repositioned lateral crural flap technique for cephalic malposition in rhinoplasty. Plast Surg (Oakv). 2015;23(3):183–8.

    Article  CAS  Google Scholar 

  28. Toriumi DM, Asher SA. Lateral crural repositioning for treatment of cephalic malposition. Facial Plast Surg Clin North Am. 2015;23(1):55–71.

    Article  PubMed  Google Scholar 

  29. Ilhan AE, Saribas B, Caypinar B. Aesthetic and functional results of lateral crural repositioning. JAMA Facial Plast Surg. 2015;17(4):286–92.

    Article  PubMed  Google Scholar 

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Balaji, N. (2020). Non-suture and Non-grafting Techniques in Nasal Tip Rhinoplasty. In: Textbook of Nasal Tip Rhinoplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-48157-5_10

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  • DOI: https://doi.org/10.1007/978-3-030-48157-5_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-48156-8

  • Online ISBN: 978-3-030-48157-5

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