OBJECTIVES/HYPOTHESIS Although minor and major tip support mechanisms have been described in detail, no quantitative models exist to provide support for the relative contributions of the structural properties of the major alar cartilage, the fibrous attachments to surrounding structures, and the rigid support structures in an objective manner. STUDY DESIGN The finite element method was used t...

BACKGROUND The site, size, and depth of tissue loss, irradiation, or composite injury to adjacent cheek and lip may make local tissues inadequate or unavailable for the repair of major nasal defects. METHODS In 13 patients, a single, folded, horizontal radial forearm flap was used to line the vault and columella, with an incontinuity fasciocutaneous extension to resurface the nasal floor, wit...

BACKGROUND In rhinoplasty, functional and cosmetic problems including imbalance between the nasal subunits and face are aimed to be corrected. So there is a need for careful preoperative evaluation and treatment of these patients. According to functional and aesthetic effects of these variables in rhinoplasty, evaluation of the frequency with focus to diagnostic methods was undertaken. METHOD...

Objective was to introduce a modified appliance and treatment protocol for presurgical nasoalveolar molding in a new born baby presenting with unilateral cleft of the lip and palate. This treatment comprises use of an orthopedic plate with acrylic nasal stent, in combination with adhesive steri-strip. The plate is adjusted every week for alveolar molding. For nasal molding, soft acrylic is adde...

Facial cleft is the second most common congenital deformity. Problems of cleft can be related to esthetic, phonetics, functional insufficiency, emotional, psychological and social. Significant abnormality in nasal cartilage morphology and asymmetry of alar base and columella are associated with cleft lip and alveolar deformity. Pre Nasoalveolar molding (PNAM) is a nonsurgical method of reshapin...

BACKGROUND Hyperactivity of depressor septi nasi muscle leads to smiling deformity and nasal tip depression. Lateral fascicles of this muscle help in widening the nostrils. The purpose of this study was to evaluate the relationship between the nasal length changes and the alar base and the alar flaring changes during smile. METHODS Standard photographs are performed in the face and lat...

In patients having a short nose with a short septal length and/or severe columellar retraction, a septal extension graft is a good solution, as it allows the dome to move caudally and pushes down the columellar base. Fixing the medial crura of the alar cartilages to a septal extension graft leads to an uncomfortably rigid nasal tip and columella, and results in unnatural facial animation. Furth...

BACKGROUND Posttraumatic and postoperative defects of columella and the tip of the nose are difficult to reconstruct. There are several operative methods described in the literature, and many of them are step-by-step procedures with long duration. The aim of this study was to present one-step procedure for reconstruction of the columella and the tip of the nose with island-shaped arterial foreh...

One of the most difficult aspects in rhinoplasty is resolving and preventing functional compromise of the nasal valve area reliably. The nasal valves are crucial for the individual breathing competence of the nose. Structural and functional elements contribute to this complex system: the nasolabial angle, the configuration and stability of the alae, the function of the internal nasal valve, the...

BACKGROUND In rhinoplasty, functional and cosmetic problems of the nose are corrected. These problems cause imbalance between the nasal subunit and face. Throughout these deformities, there are 4 variants, so there is a need for careful preoperative evaluation either for treatment or prevention of the occurrence. According to functional and aesthetic effects of these variables in rhinoplasty, ...