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Sublabial Approach to Tip Rhinoplasty: A Cadaver Model
Jason E Cohn1, Tyler Pion2, Sammy Othman3
1Department of Otolaryngology - Head and Neck Surgery, Division of Facial Plastic Reconstructive Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
Summary
The sublabial approach provides excellent exposure for tip rhinoplasty maneuvers, including graft placement and muscle division. This cadaver study demonstrates its potential for successful translation to human subjects for nasal reshaping.
Area of Science:
- Plastic Surgery
- Anatomy
- Surgical Techniques
Background:
- Tip rhinoplasty is a complex procedure requiring precise surgical access.
- The sublabial approach offers a potential alternative for accessing nasal structures.
Purpose of the Study:
- To evaluate the utility of the sublabial approach for tip rhinoplasty maneuvers in a cadaver model.
- To identify graft types suitable for sublabial placement and assess translatability to human subjects.
Main Methods:
- Dissection of ten fresh-preserved cadavers.
- Standard rhinoplasty views captured via photography.
- Evaluation of sublabial approach for various rhinoplasty techniques.
Main Results:
- Successful division of depressor septi muscle in 100% of cadavers.
- Improved nasal projection and rotation with columellar strut and shield grafts in 100% of cadavers.
- Correction of caudal septum using the swinging door technique in 60% of cadavers.
Conclusions:
- The sublabial approach is effective for performing multiple tip rhinoplasty techniques in cadavers.
- This approach shows promise for clinical application in human subjects.
