Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary Rhinoplasty

Abstract Introduction Several surgical techniques emphasizing sutures on the lower lateral cartilage have been studied by surgeons as instruments to improve nasal tip remodeling. It is already known that the domal divergence angle and its definition angle can be modified by lateral inte...

Full description

Bibliographic Details
Main Authors: Caio Márcio Correia Soares, Marcos Mocelin, Rogerio Pasinato, Cezar Augusto Sarraf Berger, Francisco Luiz Busato Grocoske, Maria Julia Abrão Issa
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2014-01-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1352505
_version_ 1818256589032783872
author Caio Márcio Correia Soares
Marcos Mocelin
Rogerio Pasinato
Cezar Augusto Sarraf Berger
Francisco Luiz Busato Grocoske
Maria Julia Abrão Issa
author_facet Caio Márcio Correia Soares
Marcos Mocelin
Rogerio Pasinato
Cezar Augusto Sarraf Berger
Francisco Luiz Busato Grocoske
Maria Julia Abrão Issa
author_sort Caio Márcio Correia Soares
collection DOAJ
description Abstract Introduction Several surgical techniques emphasizing sutures on the lower lateral cartilage have been studied by surgeons as instruments to improve nasal tip remodeling. It is already known that the domal divergence angle and its definition angle can be modified by lateral intercrural suture (LIS). Techniques for measuring these structures are not yet standardized. Objectives Assess the efficacy of LIS using polydioxanone 4–0 absorbable thread by interdomal distance and systematize the LIS technique to improve nasal tip definition. Materials and Methods This prospective study measured and analyzed interdomal distances measured preoperatively and perioperatively compared with 3- and 6-month postoperative measurements. Results LIS was efficient on reducing interdomal distances. Conclusion LIS is statistically safe and efficient and has low morbidity when utilized in patients with mild to moderate deformities, because it reduces the domal divergence angle, effectively sustaining the nasal tip.
first_indexed 2024-12-12T17:30:09Z
format Article
id doaj.art-48f1425a1a114a599c02c2793d8dbc80
institution Directory Open Access Journal
issn 1809-9777
1809-4864
language English
last_indexed 2024-12-12T17:30:09Z
publishDate 2014-01-01
publisher Thieme Revinter Publicações Ltda.
record_format Article
series International Archives of Otorhinolaryngology
spelling doaj.art-48f1425a1a114a599c02c2793d8dbc802022-12-22T00:17:24ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642014-01-01180209210710.1055/s-0033-1352505Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary RhinoplastyCaio Márcio Correia Soares0Marcos Mocelin1Rogerio Pasinato2Cezar Augusto Sarraf Berger3Francisco Luiz Busato Grocoske4Maria Julia Abrão Issa5Department of Otolaryngology, Universidade Federal do Paraná (UFPR), Curitiba/PR, BrazilDepartment of Otorhinolaryngology, Universidade Federal do Paraná (UFPR), Curitiba/PR, BrazilDepartment of Otorhinolaryngology, Universidade Federal do Paraná (UFPR), Curitiba/PR, BrazilDepartment of Otolaryngology, Universidade Federal do Paraná (UFPR), Curitiba/PR, BrazilPhysician Fellowship Program 2012, Hospital IPO, Curitiba/PR, BrazilDepartment of Otorhinolaryngology, Universidade Federal do Paraná (UFPR), Curitiba/PR, BrazilAbstract Introduction Several surgical techniques emphasizing sutures on the lower lateral cartilage have been studied by surgeons as instruments to improve nasal tip remodeling. It is already known that the domal divergence angle and its definition angle can be modified by lateral intercrural suture (LIS). Techniques for measuring these structures are not yet standardized. Objectives Assess the efficacy of LIS using polydioxanone 4–0 absorbable thread by interdomal distance and systematize the LIS technique to improve nasal tip definition. Materials and Methods This prospective study measured and analyzed interdomal distances measured preoperatively and perioperatively compared with 3- and 6-month postoperative measurements. Results LIS was efficient on reducing interdomal distances. Conclusion LIS is statistically safe and efficient and has low morbidity when utilized in patients with mild to moderate deformities, because it reduces the domal divergence angle, effectively sustaining the nasal tip.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1352505rhinoplastypolydioxanonesuture techniques
spellingShingle Caio Márcio Correia Soares
Marcos Mocelin
Rogerio Pasinato
Cezar Augusto Sarraf Berger
Francisco Luiz Busato Grocoske
Maria Julia Abrão Issa
Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary Rhinoplasty
International Archives of Otorhinolaryngology
rhinoplasty
polydioxanone
suture techniques
title Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary Rhinoplasty
title_full Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary Rhinoplasty
title_fullStr Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary Rhinoplasty
title_full_unstemmed Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary Rhinoplasty
title_short Evaluating the Effectiveness of the Lateral Intercrural Suture to Decrease the Interdomal Distance to Improve the Definition of the Nasal Tip in Primary Rhinoplasty
title_sort evaluating the effectiveness of the lateral intercrural suture to decrease the interdomal distance to improve the definition of the nasal tip in primary rhinoplasty
topic rhinoplasty
polydioxanone
suture techniques
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1352505
work_keys_str_mv AT caiomarciocorreiasoares evaluatingtheeffectivenessofthelateralintercruralsuturetodecreasetheinterdomaldistancetoimprovethedefinitionofthenasaltipinprimaryrhinoplasty
AT marcosmocelin evaluatingtheeffectivenessofthelateralintercruralsuturetodecreasetheinterdomaldistancetoimprovethedefinitionofthenasaltipinprimaryrhinoplasty
AT rogeriopasinato evaluatingtheeffectivenessofthelateralintercruralsuturetodecreasetheinterdomaldistancetoimprovethedefinitionofthenasaltipinprimaryrhinoplasty
AT cezaraugustosarrafberger evaluatingtheeffectivenessofthelateralintercruralsuturetodecreasetheinterdomaldistancetoimprovethedefinitionofthenasaltipinprimaryrhinoplasty
AT franciscoluizbusatogrocoske evaluatingtheeffectivenessofthelateralintercruralsuturetodecreasetheinterdomaldistancetoimprovethedefinitionofthenasaltipinprimaryrhinoplasty
AT mariajuliaabraoissa evaluatingtheeffectivenessofthelateralintercruralsuturetodecreasetheinterdomaldistancetoimprovethedefinitionofthenasaltipinprimaryrhinoplasty