Three-dimensional (3D) Columellar strut graft in rhinoplasty
Autor: | Adem Topkara |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
nose septum patient satisfaction medicine.medical_treatment retrospective study Treatment outcome surgical flaps 030230 surgery Surgical Flaps open surgery surgery 0302 clinical medicine three dimensional columellar strut graft middle aged Retrospective analysis postoperative complication 030223 otorhinolaryngology Orthodontics Fibrous joint General Medicine Skin Transplantation Middle Aged Nasal tip Rhinoplasty medicine.anatomical_structure surgical procedures operative female Treatment Outcome priority journal Patient Satisfaction Adolescent Adult Female Humans Nasal Septum/surgery Nose/*surgery Retrospective Studies Rhinoplasty/*methods Skin Transplantation/*methods Surgical Flaps/*surgery Suture Techniques Young Adult Strut graft Dorsum medicine.medical_specialty skin transplantation Nose Article lower lateral crus 03 medical and health sciences nose reconstruction medicine follow up In patient human procedures Nasal Septum business.industry suture technique major clinical study Surgery nose cartilage cartilage graft business |
Popis: | Background: Nasal tip surgery is the most important and most difficult step of an aesthetic rhinoplasty operation. Various suture and grafting techniques have been described for adequate tip rotation and projection in nasal tip surgery. Objectives: The author describes his technique of "three-dimensional (3D) columellar strut graft" in nasal tip surgery. Methods: Each patient is treated using the open technique rhinoplasty. The author's technique uses a 3D dorsal columellar strut with a special anatomy in the shape of a Y- on a horizontal plane. When the dorsal columellar strut is placed in a way to maintain the interdomal angle, this technique perfectly stabilizes the lower lateral cruses (LLCs) that have been shaped with cephalic dome suture (CDS). Results: A retrospective analysis of 78 patients, who underwent 3D columellar strut graft technique, were included in the study. The mean follow-up period was 15 months. All of the patients were satisfied with their tip shapes. Conclusions: The 3D dorsal columellar strut graft technique is an easily administered technique with reliable outcomes. The purpose of this graft is to support the reshaped LLCs with a perfect anatomic alignment. It does not require any additional cartilaginous graft in patients undergoing a reduction of the dorsum. © 2016 The American Society for Aesthetic Plastic Surgery, Inc. |
Databáze: | OpenAIRE |
Externí odkaz: |