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Arquivos Internacionais de Otorrinolaringologia 2011; 15(03): 302-307
DOI: 10.1590/S1809-48722011000300006
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Nasal tip narrowing: Minimally invasive suture technique for thick nose tip

Refinamento da ponta nasal: Técnica de sutura minimamente invasiva para a ponta nasal larga
Antonio Celso Nunes Nassif Filho
1   Doctor in Medicine from UFPR. Professor at PUC/PR, Coordinator of the Medical Residency in Otorhinolaryngology at Paraná's Red Cross Hospital.
,
Giovana Romano
2   Specialist in Surgical Plastic - AMB / CFM /SBCP. Plastic Surgeon Doctor.
,
Denise Braga Ribas
3   Doctor attending Specialization Degree in Otorhinolaryngolgogy at Paraná's Red Cross Hospital. Junior Doctor.
,
Scheila Maria Gambeta Sass
4   Specialist in Otorhinolaryngolgogy and Facial Cervical Surgery. Otorhinolaryngologist Doctor.
,
Emerson Franceschi
5   Doctor
› Author Affiliations
Further Information

Publication History

27 January 2011

19 April 2011

Publication Date:
12 February 2014 (online)

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Summary

Introduction: Suture techniques are mandatory methods to shape the nasal cartilages. For purposes of achieving a better contour on thick or globose nasal tips, the authors have approached a controlled intercrural and minimally invasive suture technique and the results obtained by submitting 34 patients to rhinoplasty.

Objective: Illustrate the intercrural suture technique as a treatment for a thick or globose nasal tip under closed rhinoplasty and explain the esthetical results.

Method: Retrospective study with 34 patients' clinical documents and photographs (5 male and 20 female) aged between 16 and 52, who were submitted to the thick or globose nasal tip rhinoplasty as an anatomic element found in the physical examination. In all the cases, closed rhinoplasty technique was used. A suture that cannot be absorbed is performed throughout the intermediate process. The study was performed at the Brazilian Red Cross Hospital in the State of Paraná and Sugisawa Hospital in 2009 and 2010. Patients were operated on by the main author and the junior doctors under training.

Results: The controlled intercrural suture enabled the nasal tip to be narrowed and improved the shape in the frontal and lateral angles of the nasal tip.

Conclusion: Controlled intercrural suture is a minimally invasive method providing the thick nasal tip narrowing with satisfactory results.

Resumo

Introdução: Técnicas de sutura são métodos indispensáveis para esculpir as cartilagens nasais. Para obter um melhor contorno em pontas nasais largas ou globosas os autores apresentam uma técnica de sutura intercrural controlada e minimamente invasiva e os resultados obtidos em 34 pacientes submetidos a rinoplastia.

Objetivo: Demonstrar a técnica de sutura intercrural como tratamento para a ponta nasal larga ou globosa em rinoplastia fechada e apresentar os resultados estéticos.

Método: Estudo retrospectivo de documentos clínicos e fotografias de 34 pacientes (5 homens e 29 mulheres), com idade entre 16 e 52 anos, submetidos a rinoplastia com ponta nasal larga ou globosa como elemento anatômico presente no exame físico. Em todos os casos foi utilizada técnica de rinoplastia fechada. Uma sutura inabsorvível é realizada ao longo do processo intermédio. O estudo foi conduzido em 2009 e 2010 no Hospital da Cruz Vermelha Brasileira - Filial do Paraná - Brasil e no Hospital Sugisawa. Os pacientes foram operados pelo autor principal e pelos médicos residentes em treinamento.

Resultados: A sutura intercrural controlada proporcionou uma refinamento da ponta nasal e uma melhor forma nos ângulos frontal e lateral da ponta nasal.

Conclusão: A sutura intercrural controlada é um método minimamente invasivo que oferece resultados satisfatórios em refinamento da ponta nasal larga

Keywords

rhinoplasty - nasal cartilage - suture techniques - minimally invasive surgical procedures

Palavras-chave

rinoplastia - cartilagens nasais - técnicas de sutura - procedimentos cirúrgicos minimamente invasivos
 

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