Countercurve Placement of Conchal Cartilage Grafts Used for Correction of Nasal Tip Deformities
| Autor: | Tracy S. Harvey, Richard C. Hagerty, Stephen J Mittelstaedt, Alan S. Harmatz, Le Phong Vu |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Dissection (medical) Nose Conchal cartilage medicine Humans Surgery Plastic Nasal cartilages Nasal Septum Columella business.industry Cartilage Skin Transplantation Anatomy Plastic Surgery Procedures Rhinoplasty Nasal tip medicine.disease Plastic surgery Treatment Outcome medicine.anatomical_structure Surgery business |
| Zdroj: | Annals of Plastic Surgery. 59:566-568 |
| ISSN: | 0148-7043 |
| DOI: | 10.1097/01.sap.0000258959.88552.61 |
| Popis: | A novel, straightforward technique which we have used in 7 patients and developed over the past 2 years is presented for help with the correction of nasal tip deformities, lack of nasal tip projection, and dome symmetry using conchal cartilage. Procedures to correct these problems include, but are not limited to, early open rhinoplasties with direct suturing techniques, grafting with cartilage, mobilization of the nasal cartilage, and nasoalveolar molding. We present a simple technique utilizing mature conchal cartilage as a columella strut with a lateral extension that curves over the misshapen side. Using the graft in a unique countercurve placement takes advantage of the structural memory intrinsic to mature cartilage and uses this springlike property to enhance tip projection and support lower lateral cartilage. The keys are (1) adequate mobilization of the nasal cartilage, (2) careful dissection of the pocket, (3) countercurve placement of the conchal cartilage. |
| Databáze: | OpenAIRE |
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