Modified lateral crural spanning suture of the nasal tip: Suspension element

Publication date: Available online 7 January 2017
Source:Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Author(s): Wael K.A. Hussein, Ahmed S. Ismail, Ahmed A. Ibrahim, Ahmed A. Omran
IntroductionSeveral techniques have been described to improve nasal tip definition, such as cartilage resection, tip grafts, and suture placement. Lateral alar convexities are a common deformity that requires attention during rhinoplasty. The lateral crural spanning suture provides a predictable, accurate method of correcting excess lateral crural convexity without the need for procedures that would compromise the integrity of the cartilage.ObjectivesAiming to achieve the maximum support of the nasal tip and to maintain the position of the tip in a fashion that prevents postoperative droopiness, we have modified the classic lateral crural spanning suture.MethodsA prospective study of 113 patients was conducted over patients presented to our hospital aiming at improving nasal tip definition through modified lateral crural spanning suture.ResultsIn this study, added improved of the nasal tip width and rotation was achieved in all the patients admitted for rhinoplasty.



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