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Objective: Lateral Crural Tensioning (LCT) is an important technique to refine the tip. However, a frequent problem that can occur is the weakening of the External Nasal Valve (ENV) and the constant use of Articulated Alar Rim Graft (AARG). The aim of this study is to show the results of the same surgeon (MBJZ) within one year of the Modified LCT, and review of the literature. Methods: We analyzes technical details of 149 patients that underwent rhinoplasty in one year (between July 1, 2018 and June 30, 2019) and had at least 1 year of follow-up. Results: Out of 144 patients, 25 (17.36%) were revision surgery. In 114 cases (79.17%) only the septum was used; and Septal Extension Graft (SEG) was performed in 142 of the 144 patients (98.61%). Of these, 130 (91.55%) were latero-lateral and 12 (8.45%) end-to-end. And we found that the modified LCT was used in 136 (94.44%) of the 144 patients; in these, 73 (53.68%) it was necessary to use Floating Alar Rim Graft (FARG) and 5 (3.68%) AARG. Conclusion: we demonstrate a technique that reduce the need for resection of inferior cartilages, the use of grafts and the improvement of nasal function, with strengthening of the ENV without the need to reconstruct the alar border using contour grafts. |
