Craniomaxillofacial deformities/cosmetic surgeryLateral Crural Suspension Flap: A Novel Technique to Modify and Stabilize the Nasolabial Angle
Section snippets
Surgical Technique
This technique is best performed after completing dorsal surgery and during tip plasty. The upper lateral cartilages are split off the cartilaginous septum for a few millimeters near the cephalic portion of the lateral crura (if they are not separated during septal surgery). Next, the line of incision is marked on the lateral crural cartilage using a caliper and marker. A 6-mm strip of the cephalic lateral crura is left at the widest point of the lateral crura to facilitate the insertion of
Discussion
Correction of the nasal tip position and nasolabial angle is challenging in rhinoplasty. There are various elements that influence rotation of the nasal tip. The fibrous attachments of the lower lateral cartilages to the skin, upper lateral cartilages, piriform aperture, and caudal septum provide support and play a critical role in the position of the tip. Tip rotation may be increased with the use of several techniques alone or in conjunction. These techniques enable mobilization and upward
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The effect of the columellar strut graft on nasal tip position in primary rhinoplasty
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Cited by (20)
Do the size and extension of the external nasal splint have an effect on the osteotomy, brow lines, and long-term results of rhinoplasty: A prospective randomized controlled trial of 2 methods
2015, Journal of Oral and Maxillofacial SurgeryCitation Excerpt :The attachments of these cartilages to the nasal septum are usually cut during hump reduction or spreader graft placement.8,14 The attachments of the upper lateral cartilages to the lower lateral cartilages are usually cut during the cephalic trim.15 The attachments of these cartilages to the piriform aperture are modified during the lateral nasal wall osteotomy.7,8
Modification of the lateral crural suspension flap
2014, Journal of Oral and Maxillofacial SurgeryInternal suspension sutures in tip rhinoplasty
2024, European Archives of Oto-Rhino-LaryngologyThe Onlay Rotated Flap (ORF): An Original Technique for Nasal Tip Plasty
2022, Journal of Craniofacial SurgeryRhinoplasty in Practice: An Algorithmic Approach to Modern Surgical Techniques
2022, Rhinoplasty in Practice: An Algorithmic Approach to Modern Surgical Techniques
Conflict of Interest Disclosures: None of the authors reported any disclosures.