Pitanguy Ligament Preservation in Structural Precision Rhinoplasty.

Autor:	Lisiecki J; Private Practice, New York, NY., Chiodo M; Dallas Plastic Surgery Institute, Dallas, TX., Novak M; Dallas Plastic Surgery Institute, Dallas, TX., Cotofana S; Private Practice, New York, NY.; Dallas Plastic Surgery Institute, Dallas, TX.; Department of Clinical Anatomy, Mayo Clinic, Rochester, MN.; Division of Plastic Surgery, Baylor College of Medicine, Houston, TX., Rohrich R; Dallas Plastic Surgery Institute, Dallas, TX.; Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Jul 19. Date of Electronic Publication: 2024 Jul 19.
DOI:	10.1097/PRS.0000000000011652
Abstrakt:	The Pitanguy ligament is a crucial structure in nasal tip support and in maintaining the integrity of the soft tissue envelope of the nose. In this cadaveric study, we dissected out the Pitanguy ligament on a series of fresh human cadaver specimens to better elucidate the structure of the ligament and its fate in open rhinoplasty. The Pitanguy ligament can act as a tethering force to the nasal tip when reshaping the nasal tip. Release of the Pitanguy ligament alleviated downward tension on the nasal tip, and tip shaping to a more appropriate position demonstrated that this ligament was displaced from its ideal position. In patients seeking rhinoplasty, this structure may require release and reconstruction to successfully alter tip position and avoid supratip deformity. (Copyright © 2024 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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