Management of the long nose: Review of techniques for nasal tip supporting structures

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dc.contributor.authorBenlier, E
dc.contributor.authorTop, H
dc.contributor.authorAygit, AC
dc.date.accessioned2024-06-12T10:51:07Z
dc.date.available2024-06-12T10:51:07Z
dc.date.issued2006
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe long nose with a plunging tip is a deformity that involves an inferiorly rotated nasal tip, leading to an increase in the length of the nose. The anatomic basis of the long nose with a plunging tip may be divided into two types. Type 1 presents a normal alar-cartilage complex inferiorly displaced by a long nasal septum and long upper lateral cartilages. Type 2 is caused by a dislocation of the alar cartilages downward from the aponeurotic attachments to the septal angle. During the study period, the authors identified 60 patients with long noses and plunging tips. For 22 patients with type 1 long noses, the high septal incision technique was used in 12 cases and the step technique in 10 cases. The invagination procedure alone was used for 22 of 38 patients with type 2 plunging noses. Also, an extension graft with the invagination procedure was used for 6 patients, and a columellar strut graft was used for 10 patients. A high septal incision increased tip rotation without significantly changing the amount of tip projection. However, the step procedure, the invagination technique alone, septal extension graft with the invagination technique, and columellar strut grafts increased nasal tip rotation and projection. During the study period, 38 patients were identified as having a smiling deformity, which was improved using the authors' modification procedure. On the basis of the results, the authors recommend that the appropriate treatment for each patient with a long nose and a plunging tip must be determined by preoperative and intraoperative examination findings with the patient at rest and while smiling.en_US
dc.identifier.doi10.1007/s00266-005-0204-z
dc.identifier.endpage168en_US
dc.identifier.issn0364-216X
dc.identifier.issue2en_US
dc.identifier.pmid16547629en_US
dc.identifier.scopus2-s2.0-33645399294en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage159en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-005-0204-z
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18249
dc.identifier.volume30en_US
dc.identifier.wosWOS:000236490800005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofAesthetic Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAlar-Cartilage Complexen_US
dc.subjectColumellar Strut Graften_US
dc.subjectHigh Septal Incision Techniqueen_US
dc.subjectInvagination Procedureen_US
dc.subjectLong Nasal Septumen_US
dc.subjectLong Noseen_US
dc.subjectPlunging Nasal Tipen_US
dc.subjectSeptal Extension Graften_US
dc.subjectRhinoplastyen_US
dc.subjectParten_US
dc.titleManagement of the long nose: Review of techniques for nasal tip supporting structuresen_US
dc.typeArticleen_US

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