Lateral intercrural suture in the caucasian nose: Decreased domal divergence angle in endonasal rhinoplasty without delivery

Introduction: Several techniques can be performed to improve nasal tip definition such as cartilage resection, tip grafts, or sutures. Objective: To evaluate the outcome of lateral intercrural suture at the lower lateral cartilage by endonasal rhinoplasty with a basic technique without delivery in d...

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Bibliographic Details
Main Authors: Berger, Cezar Augusto Sarraf, Mocelin, Marcos, Soares, Caio Márcio Correia, Pasinato, Rogério, Frota, Andreia Ellery
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2012-01-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=857
Description
Summary:Introduction: Several techniques can be performed to improve nasal tip definition such as cartilage resection, tip grafts, or sutures. Objective: To evaluate the outcome of lateral intercrural suture at the lower lateral cartilage by endonasal rhinoplasty with a basic technique without delivery in decreasing the angle of domal divergence and improving the nasal tip definition. Method: This prospective study was performed in 64 patients in which a suture was made on the board head of the lower lateral cartilage in the joint between the dome and lateral crus, using polydioxanone (PDS) with sharp, curved needle. Results: In all of the cases, better definition of the nasal tip was achieved by intercrural suturing for at least 6 months postoperatively. Conclusion: Lateral intercrural suture of the lower lateral cartilage provides improved nasal tip definition and can be performed by endonasal rhinoplasty without delivery in the Caucasian nose.
ISSN:1809-9777
1809-4864