코끝 Nasal Tip
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Evaluating the effectiveness of the lateral intercrural suture to decrease the interdomal distance to improve the definition of the nasal tip in primary rhinoplasty.
Introduction Several surgical techniques emphasizing sutures on the lower lateral cartilage have been studied by surgeons as instruments to improve nasal tip remodeling. It is already known that the domal divergence angle and its definition…
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Utility of high density porous polyethylene implants in maxillofacial surgery.
The aim of this paper was to determine the utility of high density porous polyethylene implants (HDPE) in a variety of facial skeletal deformities. Sixteen patients (age range 14-28 years) with facial deformities requiring skeletal defect r…
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Nasal tip support: a finite element analysis of the role of the caudal septum during tip depression.
[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, …
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The deviated nose and asymmetric eyebrows: an important trap to avoid.
[BACKGROUND] Failure to recognize asymmetrically positioned eyebrows, often altered by the patient to camouflage nasal asymmetry, can lead the surgeon to design the rhinoplasty using a faulty midline landmark. The purpose of this study was …
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The sandwiched lateral crural reinforcement graft: a novel technique for lateral crus reinforcement in rhinoplasty.
[BACKGROUND] Misshapen or weak lateral crura can cause an inward collapse of the lateral crus observed on deep inspiration. The lateral crural strut graft is a popular technique for reinforcing lateral crura. Failure to stabilize the graft …
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Imaging features of rhinoplasty.
Cosmetic rhinoplasty encompasses a diverse group of procedures, including alteration of the radix, nasal dorsum, nasal tip, and nasal base; premaxillary augmentation; septoplasty; and combinations thereof. Similarly, many different types of…
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Clover-shaped advancement flap for correction of short and broad columella in a patient with frontorhiny.
This report describes a recessively inherited frontonasal malformation termed "frontorhiny" in recent literature. The authors developed a modified open rhinoplasty incision for correction of a broad, swollen columella due to frontorhiny. Th…
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Rhinoplasty: panel discussion.
Should one use an open or closed rhinoplasty approach? How appropriate is the endonasal approach in modern-day rhinoplasty? Should the tip lobule be divided or preserved? Are alloplastic implants inferior to autologous implants? Does releas…
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Surgical management of the distorted caudal septum.
[PURPOSE OF REVIEW] This article reviews the current trends in the surgical approach to the caudal septum, and its importance in rhinoplasty. The evolution of rhinoplasty techniques over the past half century has changed the emphasis from e…
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Interdomal-columellar myolipoma: discovered at rhinoplasty.
[UNLABELLED] Tumors of the adipose tissue located in the nose are extremely rare. This report draws attention to the first case of nasal tip-columellar myolipoma described in the literature. During an open rhinoplasty, the authors elevated …
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Smile analysis in rhinoplasty: a randomized study for comparing resection and transposition of the depressor septi nasi muscle.
[BACKGROUND] The depressor septi nasi muscle is responsible for smiling deformity. Its manipulation is beneficial in patients with muscle hypertrophy. In addition, it enhances the smile and tip-lip relationship. In this study, depressor sep…
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Conchal Cartilage Graft for Correction of Bilateral Cleft Lip Nasal Deformities during Childhood.
[BACKGROUND] Various methods for primary repair of bilateral cleft lip have been developed, but they often produce inadequate results, such as an upturned nose or a short columella. We perform primary lip repair with muscle reconstruction t…
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Precise anatomical study of rhinoplasty: description of a novel method and application to the lateral crural steal.
[IMPORTANCE] The prediction of nasal tip position in terms of projection, rotation, and length is a major challenge in rhinoplasty. Studies using preoperative and postoperative photographs lack accuracy owing to variable position, and compu…
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Secondary cleft rhinoplasty.
The cleft nasal deformity seen in patients with unilateral and bilateral cleft lip presents a formidable challenge for the facial plastic surgeon. The underlying anatomic deformities combined with scarring from previous procedures make seco…
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Supratip-plasty: a completely cartilaginous tip complex to maintain nasal tip width.
[BACKGROUND] Following primary rhinoplasty, the nasal tip may become wider on front view, possibly due to splaying of the lateral crura. [OBJECTIVES] The authors describe a technique, the "supratip-plasty," to create an all-cartilaginous s…
- A new way for supporting tip projection in closed rhinoplasty: using the medial deep SMAS layer.
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Recent trend in the choice of fillers and injection techniques in Asia: a questionnaire study based on expert opinion.
[BACKGROUND] With recognition of the value of volume enhancement in achieving a more youthful appearance, there has been concomitant explosion in the soft tissue filler market. Given the vast array of filler products and techniques currentl…
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The plunging tip: illusion and reality.
[BACKGROUND] The plunging tip is defined as a nasal deformity where the nasal tip descends or "plunges" during smiling. [OBJECTIVE] The authors prospectively measure a series of 25 patients with a focus on the anatomic changes of the nose …
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Effective septal extension graft for asian rhinoplasty.
[BACKGROUND] This study aimed at overcoming the disadvantages of septal extension grafts and keeping the nasal tip as natural as possible by using different forms of the graft and additional supporting methods depending on the case. [METHO…
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Obtaining maximal stability with a septal extension technique in East asian rhinoplasty.
Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose. The success rate of this method has led to the blind faith that it provides superior tip projection and de…