BACKGROUND Commonly used techniques for achieving nasal tip projection and refinement are adequate for most primary rhinoplasty patients, but they may result in undesirable tip bifidity and visible lower lateral cartilage angularity, especially in patients with thin skin. OBJECTIVE We report the use of "like" local tissues, cephalic trim cartilage remnants of the lower lateral cartilages, as ...

INTRODUCTION Following nasal hump removal during septorhinoplasty, the middle vault should be reconstructed to avoid functional and esthetic problems. Middle vault reconstruction, however, may result in widening of the middle vault and may need a camouflage graft to cover dorsal irregularities. OBJECTIVE To present the results of reconstructing the middle vault with a technique that covers th...

Composite chondrocutaneous grafts were applied to 12 patients in various forms to repair the columellar deficit, to form the nasal tubercle and nostril sill in cleft lip nose patients. Cleft lip-nose deformity patients with alar cartilage hypoplasia, obtuse angulation of the medial and lateral crura and the resulting plica vestibularis, internal nasal valve problems associated with the weakness...

UNLABELLED Nasal tip ptosis ("drooping" or long nose) occurs when the tip of the nose is more caudal than what is deemed ideal. Intrinsic factors, such as elongated or caudally-rotated lower lateral cartilages, can lead to nasal tip ptosis. Extrinsic factors, such as elongated upper lateral cartilages or excessive caudal anterior septum and heavy nasal skin, can push the nasal tip caudally and ...

Over the nasal bones and lateral cartilages the skin is thin and fairly freely movable. The skin is much thicker, contains more glands, and is firmly adherent over the alar cartilages. The blood supply is mainly in the soft tissues. The dissection should lie in planes of cleavage whereby vessels are avoided and bleeding is minimized. The bony nose consists of paired nasal bones which are thin i...

OBJECTIVE Rhinoplasty started as a closed technique and then the open technique gained popularity. Open technique gave surgeons the opportunity to visualize and manipulate the cartilaginous skeleton at the tip of the nose precisely. The dissection planes in open rhinoplasty technique may be subcutaneous, submuscular (under the superficial musculoaponeurotic system), or subpericondrial subperios...

OBJECTIVE To describe and evaluate results of a surgical procedure to treat internal nasal valve insufficiency with the use of spreader grafts placed via an endonasal approach without division of the upper lateral cartilages from the nasal septum. DESIGN Eighty-nine patients with complaints of nasal obstruction, at least partially due to internal nasal valve insufficiency, underwent this oper...

OBJECTIVE We employ a nasal tip finite element model (FEM) to evaluate contributions of two of the three major tip support mechanisms: attachments between the upper and lower lateral cartilages and attachment of the medial crura to the caudal septum. STUDY DESIGN The nasal tip FEM computed stress distribution and strain energy density (SED) during nasal tip compression. We examined the impact...

Large full-thickness nasal tip defects after Mohs surgery present a challenge to the reconstructive surgeon. The interpolated paramedian forehead flap is the standard modality to repair such defects, especially when exposed cartilage is present. Despite providing an excellent cosmetic outcome, some patients are reluctant to undergo this procedure due to the associated temporary deformity, the p...

The larynx or voice box is a cylindrical space which lies at the upper end of the trachea opposite to the 3—6 cervical cartilages. It is a cartilaginous structure made up of 6 different types of cartilages. Major cartilages forming the framework of the larynx are thyroid, cricoid and epiglottis. The unpaired cartilages are three in number, namely arytenoids, corniculate and cuneiform. Cricoid c...