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Published on: November 12, 2014
The tripod theory of nasal tip support revisited: the cantilevered spring model
Richard W Westreich1, William Lawson
1Department of Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, NY 11201, USA. doctor@newyorknose.com
Objective:
To extrapolate on the tripod concept to create a more universal and multiethnic model that includes common anatomical configurations and strategies to avoid certain unwanted surgical outcomes.
Methods:
Analysis of current surgical methods, scientific studies, and predominant theories to produce a new model of nasal tip support based on the biomechanical properties of the nasal cartilages.
Results:
The nasal tip acts as a cantilevered spring that associates with other rigid and semirigid regions of the nose. Application of these concepts resulted in preservation of projection and tip rotation in appropriately selected patients.
Conclusion:
The cantilevered spring tripod provides a more universal model for explaining nasal tip dynamics in a contemporary multiethnic population of patients seeking functional or cosmetic rhinoplasty correction.
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