Popis: |
It has been said that “he who masters the nasal tip, masters rhinoplasty.” This is true, because restoration of the nasal tip can be considered as the most difficult part of a rhinoplasty. Angulation deformities (A.D.) between footplate and the columellar segment cause divergent footplate deformity which has been renamed as type A A.D. These types of angulation deformities cause outward dislocation of the footplates. They are almost always reciprocally bilateral. Tip restoration may become more complicated with several deformities existing over the lower lateral cartilages. One of the most challenging of these deformities is the presence of inappropriate, abnormal, and resistant angulations over several parts of the lower lateral cartilages. Most of these angulation deformities are located over junction lines between segments and cruras. They can exist as unilateral deformity at any junction, bilateral deformities at the same junctions, or bilateral deformities at various junctions. In this chapter, assessment of angulation deformities of lower lateral cartilages and their restoration are presented. |