Facial Plast Surg 2006; 22(1): 055-060
DOI: 10.1055/s-2006-939953
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Structural Approach to Endonasal Rhinoplasty

Anil R. Shah1 , Philip J. Miller1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University School of Medicine, New York, New York
Further Information

Publication History

Publication Date:
29 May 2006 (online)

ABSTRACT

The marriage of endonasal rhinoplasty with structural grafting has resulted in more consistent rhinoplasty results. The nasal base can be stabilized by tongue-in-groove techniques, a columellar strut, or extended columellar strut. The middle vault can be addressed with spreader grafts or butterfly grafts. Lower lateral cartilage weakness can be supported with alar batten grafts or repositioning of the lower lateral cartilages.

REFERENCES

  • 1 Goodman W S, Charles D A. Technique of external rhinoplasty.  J Otolaryngol. 1978;  7 13-17
  • 2 Adamson P A, Smith O, Tropper G J. Incision and scar analysis in open rhinoplasty.  Arch Otolaryngol Head Neck Surg. 1990;  116 671-675
  • 3 Toriumi D M. Structure approach in rhinoplasty.  Facial Plast Surg Clin North Am. 2002;  10 1-22
  • 4 Vuyk H D, Oakenfull C, Plaat R E. A quantitative appraisal of change in nasal tip projection after open rhinoplasty.  Rhinology. 1997;  35 124-128
  • 5 Beaty M M, Dyer II W K, Shawl M W. The quantification of surgical changes in nasal tip support.  Arch Facial Plast Surg. 2002;  4 82-91
  • 6 Adams Jr W P, Rohrich R J, Hollier L H, Minoli J, Thornton L K, Gyimesi I. Anatomic basis and clinical implications for nasal tip support in open versus closed rhinoplasty.  Plast Reconstr Surg. 1999;  103 255-261
  • 7 Constantian M B. The two essential elements for planning tip surgery in primary and secondary rhinoplasty: observations based on review of 100 consecutive patients.  Plast Reconstr Surg. 2004;  114 1571-1581
  • 8 Kridel R W, Scott B A, Foda H M. The tongue-in-groove technique in septorhinoplasty.  Arch Facial Plast Surg. 1989;  1 246-256
  • 9 Pastorek N J, Bustillo A, Murphy M R, Becker D G. The extended columellar strut-tip graft.  Arch Facial Plast Surg. 2005;  7 176-184
  • 10 Constantian M B. The boxy nasal tip, the ball tip, and alar cartilage malposition: variations on a theme-a study in 200 consecutive primary and secondary rhinoplasty patients.  Plast Reconstr Surg. 2005;  116 268-281
  • 11 Toriumi D M, Josen J, Weinberger M, Tardy Jr M E. Use of alar batten grafts for correction of nasal valve collapse.  Arch Otolaryngol Head Neck Surg. 1997;  123 802-808
  • 12 Sheen J H. Closed versus open rhinoplasty-and the debate goes on.  Plast Reconstr Surg. 1997;  99 859-862
  • 13 Sheen J H. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty.  Plast Reconstr Surg. 1984;  73 230-239
  • 14 Clark J M, Cook T A. The “butterfly” graft in functional secondary rhinoplasty.  Laryngoscope. 2002;  112 1917-1925

Anil R ShahM.D. 

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University School of Medicine

530 First Avenue, Suite 7U, New York, NY 10016

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