The Pillars of the Nose-Crura Shortening for Over Projected Nose.

Important nasal tip structures Nasal tip deformities Nasal tip over projection Rhino/septoplasty Surgical techniques

Journal

Open access Macedonian journal of medical sciences
ISSN: 1857-9655
Titre abrégé: Open Access Maced J Med Sci
Pays: North Macedonia
ID NLM: 101662294

Informations de publication

Date de publication:
15 Dec 2019
Historique:
received: 20 09 2019
revised: 20 11 2019
accepted: 21 11 2019
entrez: 14 3 2020
pubmed: 14 3 2020
medline: 14 3 2020
Statut: epublish

Résumé

The over projected nose, commonly referred to as the "Pinocchio" nose is a significant challenge to the rhinoplasty surgeon. Firstly, we speak about a very large nose, and secondly, we speak about the correction of nasal cartilages (alar and triangular). Surgical correction of the over projected nose is the most difficult and least predictable component of rhinoplasty surgery. By performing rhinoseptoplasty we aimed to achieve an ideal landmarks position according to concepts of nasal projection as well as by making preoperative analyses to determine the ideal position for the nasal tip after having understood and defined the ideal position for the nasion. We performed a retrospective study of patients who were admitted to ENT University Clinic, University Campus "St. Mother Theresa" Skopje, the Republic of Macedonia in the period 2011-2019. A total of 70 patients were enrolled in the study; 46 women (33%) and 24 men (33%). Operative technique rhinoseptoplasty was realised in 70 patients. All of the 70 (100%) patients underwent preoperative and postoperative evaluation during this period regularly to record the effects of various approaches on nasal projection, rotation, need for revision, and patient satisfaction. All patients used one or more of the preferred methods to treat over projection. Patients who had undergone 2 previous rhino/septoplasty procedures were excluded from the study, and hence, a total of 70 patients were evaluated. Full-transfixion incisions were made in all patients. From 2011 to 2019, in 72 cases, 1 or more of the preferred methods were used to treat over projection. The crural anatomy of the nasal tip relates to the size and shape of the lower lateral cartilages (LLC) and their relationship with the caudal septum and upper lateral cartilages (ULC). Modification of nasal tip rotation and projection should attempt to preserve or reconstruct major tip mechanisms.

Sections du résumé

BACKGROUND BACKGROUND
The over projected nose, commonly referred to as the "Pinocchio" nose is a significant challenge to the rhinoplasty surgeon. Firstly, we speak about a very large nose, and secondly, we speak about the correction of nasal cartilages (alar and triangular). Surgical correction of the over projected nose is the most difficult and least predictable component of rhinoplasty surgery.
AIM OBJECTIVE
By performing rhinoseptoplasty we aimed to achieve an ideal landmarks position according to concepts of nasal projection as well as by making preoperative analyses to determine the ideal position for the nasal tip after having understood and defined the ideal position for the nasion.
METHODS METHODS
We performed a retrospective study of patients who were admitted to ENT University Clinic, University Campus "St. Mother Theresa" Skopje, the Republic of Macedonia in the period 2011-2019. A total of 70 patients were enrolled in the study; 46 women (33%) and 24 men (33%). Operative technique rhinoseptoplasty was realised in 70 patients. All of the 70 (100%) patients underwent preoperative and postoperative evaluation during this period regularly to record the effects of various approaches on nasal projection, rotation, need for revision, and patient satisfaction.
RESULTS RESULTS
All patients used one or more of the preferred methods to treat over projection. Patients who had undergone 2 previous rhino/septoplasty procedures were excluded from the study, and hence, a total of 70 patients were evaluated. Full-transfixion incisions were made in all patients. From 2011 to 2019, in 72 cases, 1 or more of the preferred methods were used to treat over projection.
CONCLUSION CONCLUSIONS
The crural anatomy of the nasal tip relates to the size and shape of the lower lateral cartilages (LLC) and their relationship with the caudal septum and upper lateral cartilages (ULC). Modification of nasal tip rotation and projection should attempt to preserve or reconstruct major tip mechanisms.

Identifiants

pubmed: 32165948
doi: 10.3889/oamjms.2019.732
pii: OAMJMS-7-4036
pmc: PMC7061393
doi:

Types de publication

Journal Article

Langues

eng

Pagination

4036-4042

Informations de copyright

Copyright: © 2019 Gabriela Kopacheva-Barsova, Marina Davcheva-Chakar, Nikola Nikolovski, Marjan Marolov, Vesna Petreska-Dukovska.

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Auteurs

Gabriela Kopacheva-Barsova (G)

ENT University Clinic, University Campus "St. Mother Theresa", Skopje, Republic of Macedonia.

Marina Davcheva-Chakar (M)

ENT University Clinic, University Campus "St. Mother Theresa", Skopje, Republic of Macedonia.

Nikola Nikolovski (N)

ENT University Clinic, University Campus "St. Mother Theresa", Skopje, Republic of Macedonia.

Marjan Marolov (M)

ENT University Clinic, University Campus "St. Mother Theresa", Skopje, Republic of Macedonia.

Vesna Petreska-Dukovska (V)

General Hospital "Remedika", Skopje, Republic of Macedonia.

Classifications MeSH