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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
The quantification of surgical changes in nasal tip support
Mark M Beaty1, Wallace K Dyer, Matthew W Shawl
1Milton Hall Plastic Surgery, 2365 Old Milton Pkwy, Alpharetta, GA 30004, USA. mmbeaty@earthlink.net
Archives of Facial Plastic Surgery
|May 22, 2002
Summary
This study quantifies nasal tip support changes after rhinoplasty. Reconstructing lateral crura attachments and using specific techniques best preserve or augment tip support.
Area of Science:
- Plastic Surgery
- Anatomy
- Surgical Techniques
Background:
- Nasal tip support is crucial for aesthetic outcomes in rhinoplasty.
- Quantifying changes in nasal tip support after surgical modifications is essential for improving surgical techniques.
Purpose of the Study:
- To quantify changes in nasal tip support strength following various surgical modifications.
- To identify surgical procedures that effectively maintain or enhance nasal tip support.
Main Methods:
- A two-phase case study involving patients undergoing primary and secondary rhinoplasty, as well as fresh cadavers.
- A specialized instrument (Beaty Tensegrometer) was used to measure nasal tip support before and after surgical interventions.
Main Results:
- Dividing lateral crura attachments decreased tip support by 25%; reconstruction increased it by 35%.
- Columellar strut and ligament reconstruction increased support by 44%.
- The dynamic adjustable rotation tip-tensioning technique in secondary rhinoplasty increased support by 70%; open rhinoplasty techniques did not negatively impact support.
Conclusions:
- Nasal tip support can be reliably quantified.
- The open rhinoplasty approach, lateral crura attachment reconstruction, conservative lower lateral cartilage resection, and specific secondary rhinoplasty techniques best preserve nasal tip support.
