RSS-Feed abonnieren
PDF herunterladen
DOI: 10.5999/aps.2016.43.1.46
Sublabial Autologous Ear Cartilage Grafting for Increasing the Nasolabial Angle
Authors
Background The loss of nasal tip support is caused by many factors and eventually results in the collapse and eventual dropping of the nasal tip. This reduces the nasolabial (NL) angle and negatively affects respiratory functions and one's appearance.
Methods The aim of this retrospective study, which was conducted on 52 patients, was to present and popularize a simple and effective method for the reconstruction of a weakened columella by inserting an autologous ear cartilage graft using a sublabial approach.
Results Of all the patients, three patients experienced transplant rejection. The period of follow-up observation was one to five years (mean, 27 months). The results were objectively evaluated by measuring the NL angle in standardized photos before and after the procedure at different time intervals over the follow-up period. We observed a significant increase of the NL angle (mean, 20°), and found these results to be durable over the long term. Of the 52 patients included in this study observed patients, three were dissatisfied (due to immediate infection and shifting of the strut), 28 were satisfied, and 21 were very satisfied.
Conclusions The surgical method described here is simple and can be learned quickly. It has very good results with few complications, and is our method of choice for complex and serious cases seen in everyday rhinosurgical practice.
Publikationsverlauf
Eingereicht: 28. April 2015
Angenommen: 12. Oktober 2015
Artikel online veröffentlicht:
20. April 2022
© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Beekhuis GJ, Colton JJ. Nasal tip support. Arch Otolaryngol Head Neck Surg 1986; 112: 726-728
- 2 Farkas LG, Hreczko TA, Deutsch CK. Objective assessment of standard nostril types: a morphometric study. Ann Plast Surg 1983; 11: 381-389
- 3 Baker HL. Anatomical and profile analysis of the female black American nose. J Natl Med Assoc 1989; 81: 1169-1175
- 4 Porter JP, Olson KL. Analysis of the African American female nose. Plast Reconstr Surg 2003; 111: 620-628
- 5 Krmpotic-Nemanic J, Kostovic I, Rudan P. et al. Morphological and histological changes responsible for the droop of the nasal tip in advanced age. Acta Otolaryngol 1971; 71: 278-281
- 6 Rohrich RJ, Hollier Jr LH, Janis JE. et al. Rhinoplasty with advancing age. Plast Reconstr Surg 2004; 114: 1936-1944
- 7 Petroff MA, McCollough EG, Hom D. et al. Nasal tip projection. Quantitative changes following rhinoplasty. Arch Otolaryngol Head Neck Surg 1991; 117: 783-788
- 8 Ghazipour A, Ghadakzadeh S, Karimian N. The comparison between two different combinations of alar cartilage-modifying techniques: is lateral crural steal the choice?. Eur Arch Otorhinolaryngol 2009; 266: 391-395
- 9 Benlier E, Top H, Aygit AC. Management of the long nose: review of techniques for nasal tip supporting structures. Aesthetic Plast Surg 2006; 30: 159-168
- 10 Foda HM. Management of the droopy tip: a comparison of three alar cartilage-modifying techniques. Plast Reconstr Surg 2003; 112: 1408-1417
- 11 Foda HM, Kridel RW. Lateral crural steal and lateral crural overlay: an objective evaluation. Arch Otolaryngol Head Neck Surg 1999; 125: 1365-1370
- 12 Cohen S, Ad-El D, Yaniv E. et al. Sublabial approach for columellar reconstruction in corrective rhinoplasty. J Plast Reconstr Aesthet Surg 2009; 62: 1446-1452
- 13 Pastorek NJ, Bustillo A, Murphy MR. et al. The extended columellar strut-tip graft. Arch Facial Plast Surg 2005; 7: 176-184
- 14 Rohrich RJ, Liu JH. The dorsal columellar strut: innovative use of dorsal hump removal for a columellar strut. Aesthet Surg J 2010; 30: 30-35
- 15 Bloom DC, Cupp CL. The percutaneous columellar strut. Am J Rhinol 2003; 17: 357-361
- 16 Webster RC, Hopping SB, Hall B. et al. Intraoral insertion of grafts to project the nasal tip. Arch Otolaryngol 1982; 108: 187-193
- 17 Rees TD, Wood-Smith D. Cosmetic facial surgery. Philadelphia: Saunders; 1973
- 18 Anic Milosevic S, Lapter Varga M, Slaj M. Mogucnosti analize mekih tkiva u ortodontskoj dijagnostici. Acta Stomatol Croat 2007; 41: 251-259
- 19 Peck GC, Heiden C. Nasenplastik: ein operationsatlas. New York: Thieme; 1986
- 20 Sheen JH, Sheen AP. Aesthetic rhinoplasty. St. Louis: Mosby; 1987
- 21 Kridel RW, Scott BA, Foda HM. The tongue-in-groove technique in septorhinoplasty: a 10-year experience. Arch Facial Plast Surg 1999; 1: 246-256
- 22 Porter JP, Tardy Jr ME, Cheng J. The contoured auricular projection graft for nasal tip projection. Arch Facial Plast Surg 1999; 1: 312-315
- 23 Echeverry A, Carvajal J, Medina E. Alternative technique for tip support in secondary rhinoplasty. Aesthet Surg J 2006; 26: 662-668
- 24 Rorich RJ, Janis JE. Clinical decision-making in rhinoplasty. In: Nahai F. The art of aesthetic surgery: principles & techniques. St. Louis, Mo.: Quality Medical Pub.; 2005: 1527-1574
- 25 Farkas LG, Kolar JC, Munro IR. Geography of the nose: a morphometric study. Aesthetic Plast Surg 1986; 10: 191-223