Abstract
In this systematic review we aim to (1) describe the anatomy and function of the soft
tissue triangle, (2) identify the existing rhinoplasty literature that discusses the
role of the soft tissue triangle, (3) provide a summary of the outcome measures for
soft tissue triangle techniques in rhinoplasty, and (4) demonstrate the need for further
research reviewing soft tissue triangle techniques in rhinoplasty. A systematic literature
review was conducted from 2002 to 2019 utilizing MEDLINE/PubMed, Embase, Ovid, and
Cochrane databases with the keywords, “rhinoplasty” and “soft tissue triangle” or
“facet” to identify articles that describe the anatomical significance, clinical applicability,
and rhinoplasty outcomes involving the soft tissue triangle. A total of 26 studies
were identified as appropriate for inclusion. The vast majority describe the relationship
of structure and function of the soft tissue triangle with particular focus on notching
and retraction. The soft tissue triangle is an important area of the nose often neglected
in rhinoplasty. This area is a common source of patient dissatisfaction and the need
for revision rhinoplasty. Due to this fact, a formal evaluation of the role of the
soft tissue triangle in nasal airway patency is needed. Specific validated outcome
measures such as the NOSE (Nasal Obstruction and Septoplasty Effectiveness) score
or the SCHNOS (Standardized Cosmesis and Health Nasal Outcomes Survey) should be employed
in the evaluation of surgical intervention to the soft tissue triangle.
Keywords
soft tissue triangle - soft facet - rhinoplasty - infratip lobule
