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Eur Arch Otorhinolaryngol. 2016 Dec;273(12):4053-4059. doi: 10.1007/s00405-015-3866-4. Epub 2015 Dec 24.

Value of cephalic part of lateral crus in functional rhinoplasty.

Author information

1
Department of Otolaryngology Head and Neck Surgery, Vali-Asr Hospital, Imam Khomeini Medical Complex, Tehran University of Medical Sciences, Dr. Gharib Avenue, Keshavarz, Boulevard, Tehran, Iran. asazgar@sina.tums.ac.ir.
2
Department of Otolaryngology Head and Neck Surgery, Vali-Asr Hospital, Imam Khomeini Medical Complex, Tehran University of Medical Sciences, Dr. Gharib Avenue, Keshavarz, Boulevard, Tehran, Iran.

Abstract

Reshaping of the nasal tip is the most difficult part of rhinoplasty. Over the years, there have been many advances in the field of rhinoplasty, including tip plasty. The goal of these continuous refinements in existing procedures has been to improve both aesthetic and functional outcomes. The cephalic part of the lateral crus of the lower lateral cartilage is what mainly contributes to nasal tip deformity. Various surgical techniques have been reported that used the cephalic part of lateral crus to refine the nasal tip and preserve alar integrity and nasal breathing function. In this review article, we have attempted to show the evolution of these methods while focusing on development of approaches that are basic for "modern rhinoplasty" and presenting our personal preferences. We have also endeavored to categorize these methods and clarify some misconceptions and inaccuracies in their descriptions.

KEYWORDS:

Alar cartilage; Cephalic trim; Rhinoplasty; Tip-plasty

PMID:
26704927
DOI:
10.1007/s00405-015-3866-4
[Indexed for MEDLINE]

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