Internal suspension sutures in tip rhinoplasty.

Rhinoplasty Septal extension graft Suspension sutures

Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
01 Nov 2023
Historique:
received: 14 09 2023
accepted: 02 10 2023
medline: 1 11 2023
pubmed: 1 11 2023
entrez: 1 11 2023
Statut: aheadofprint

Résumé

Achieving an aesthetically pleasant tip rotation is paramount in rhinoplasty, and these results should be long-lasting. However, even powerful structural techniques such as septal extension grafts can lose rotation over time, as most support depends on the attachment of the graft to the septal cartilage. We describe a simple suture technique to strengthen tip support in rhinoplasty, by suspending it to the cartilaginous dorsum, providing additional support to the tip against forces, such as gravity, scar contraction and muscle tension. Combining traditional techniques with suspension sutures can improve intraoperative results and could enhance long-term tip stability.

Sections du résumé

BACKGROUND BACKGROUND
Achieving an aesthetically pleasant tip rotation is paramount in rhinoplasty, and these results should be long-lasting. However, even powerful structural techniques such as septal extension grafts can lose rotation over time, as most support depends on the attachment of the graft to the septal cartilage.
METHODS METHODS
We describe a simple suture technique to strengthen tip support in rhinoplasty, by suspending it to the cartilaginous dorsum, providing additional support to the tip against forces, such as gravity, scar contraction and muscle tension.
CONCLUSIONS CONCLUSIONS
Combining traditional techniques with suspension sutures can improve intraoperative results and could enhance long-term tip stability.

Identifiants

pubmed: 37910207
doi: 10.1007/s00405-023-08276-3
pii: 10.1007/s00405-023-08276-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Afrooz PN, Carboy JA, Mendez BM, Rohrich RJ (2019) Cephalic rotation of the nasal tip. Plast Reconstr Surg 143:734e-e743
doi: 10.1097/PRS.0000000000004919 pubmed: 30113446
Akkus AM, Eryilmaz E, Guneren E (2013) Comparison of the effects of columellar strut and septal extension grafts for tip support in rhinoplasty. Aesthetic Plast Surg 37:666–673
doi: 10.1007/s00266-013-0141-1 pubmed: 23708246
Bellamy JL, Rohrich RJ (2023) Superiority of the septal extension graft over the columellar strut graft in primary rhinoplasty: improved long-term tip stability. Plast Reconstr Surg 152:332–339
doi: 10.1097/PRS.0000000000010147 pubmed: 36728586
Neves JC, Martin PR (2023) Cable and mirror sutures and the nasal septum sublaminar dissection. Facial Plast Surg 39:417–426
doi: 10.1055/a-2021-0280 pubmed: 36706784
Davidson TM, Murakami WT (1983) Tip suspension suture for superior tip rotation in rhinoplasty. Laryngoscope 93:1076–1080
doi: 10.1288/00005537-198308000-00019 pubmed: 6348455
Cárdenas JC, Carvajal J, Ruiz A (2006) Securing nasal tip rotation through suspension suture technique. Plast Reconstr Surg 117:1750–1755
doi: 10.1097/01.prs.0000210029.58404.51 pubmed: 16651946
Bohluli B, Varedi P, Nazari S, Bagheri SC (2013) Lateral crural suspension flap: a novel technique to modify and stabilize the nasolabial angle. J Oral Maxillofac Surg 71(9):1572–1576
doi: 10.1016/j.joms.2013.03.024 pubmed: 23769462

Auteurs

Andrés Alvo (A)

University of Chile, Santiago, Chile. andresalvo@gmail.com.
Department of Otorhinolaryngology, Clínica Alemana, Santiago, Chile. andresalvo@gmail.com.

Classifications MeSH