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The over-projecting nasal tip: precise reduction without rotation.

L G Close, S D Schaefer, B A Schultz

    The Laryngoscope
    |August 1, 1987
    PubMed
    Summary
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    This study presents a surgical technique for correcting the "Pinocchio" nose deformity, which involves excessive nasal tip projection. The open septorhinoplasty method reliably reduces nasal projection by excising specific cartilage lengths.

    Area of Science:

    • Plastic Surgery
    • Otolaryngology
    • Facial Aesthetic Surgery

    Background:

    • Excessive nasal tip projection, or "Pinocchio" nose, is an uncommon deformity.
    • This condition often results from elongated medial and lateral crura of the lower lateral cartilages.
    • Surgical correction is challenging, especially when undesirable tip rotation is present.

    Purpose of the Study:

    • To describe a simple and reproducible surgical method for correcting the over-projecting nasal tip.
    • To evaluate the efficacy of the described technique in patients requiring minimal or no tip rotation.

    Main Methods:

    • Open septorhinoplasty approach used for surgical correction.
    • Preoperative photographs analyzed to determine precise cartilage excision lengths from medial and lateral crura.

    Related Experiment Videos

  • The technique focuses on reducing nasal projection without altering tip rotation.

    • Main Results:

    • The described surgical technique was applied to six consecutive patients.
    • Patients were followed for 7 to 19 months post-surgery.
    • The procedure demonstrated reliable correction of over-projecting nasal tips.

    Conclusions:

    • The described open septorhinoplasty technique is a reliable method for correcting the "Pinocchio" nose deformity.
    • This approach is recommended for patients with excessive nasal tip projection seeking minimal or no alteration in tip rotation.