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2022, Number 2

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Revista Cubana de Cirugía 2022; 61 (2)

Modifications of nasal tip after transcartilaginous rhinoplasty

Gálvez CJC, Ramírez CMÁ

Language: Spanish
References: 18
Page: 1-16
PDF size: 530.48 Kb.


ABSTRACT

Introduction: The reduction of the width and definition of the nasal tip is one of the main objectives of aesthetic rhinoplasty. The endonasal route, with a transcartilaginous incision, is mainly used when there are no significant alterations in the cartilaginous structure of the nasal tip.
Objective: To determine the morphological changes that occur in the nasal tip after transcartilaginous rhinoplasty.
Methods: A descriptive, prospective, longitudinal study was carried out in 15 patients with aesthetic deformity of the nasal tip, who were operated by transcartilaginous rhinoplasty at Hermanos Ameijeiras Hospital, from 2016 to 2020. The variables studied were nasolabial angle, width of the nasal tip, percentage of reduction in the width of the nasal tip, relationship between the nasal length and the projection of the nasal tip, and the patients' satisfaction status.
Results: There was a narrowing of the nasal tip, starting from a preoperative mean width of 64.8% in relation to the nasal base, to a postoperative mean of 60.1%, resulting in a mean percentage reduction in width of the postoperative nasal tip of 7.3%. No variation was observed regarding the predominance of the ideal categories in the rest of the variables studied, even when there were individual changes, as a group.
Conclusions: Postoperative modifications were produced that contributed to a refinement of the nasal tip, with a high degree of satisfaction of the operated patients.


REFERENCES

  1. Gioacomotti JD, Ali A, López T, Piqué H. Anatomía del dorso nasal. Estudio del tercio inferior en la nariz naturalmente armónica. Cir Plast Iberolatinoam. 2016;42:313-20.

  2. Mottura A, Cremona P. Rinoplastia estética primaria cerrada. Revisiones durante tres años. Cir Plást Iberolatinoam. 2020;46(3):283-90.

  3. Nolst Trenité GJ. Rhinoplasty: a practical guide to functional and aesthetic surgery of the nose. 3rd ed. Amsterdam: Kugler Publications; 2005. p. 1-8.

  4. Neligan PC, Warren RJ. Cirugía plástica. 3 ed. Medellin: Amolca; 2016. p. 387-449.

  5. Casanueva LF. Injertos de punta nasal en rinoplastia primaria. Rev Otorrinolaringol Cir Cabeza Cuello. 2016;76(1):21-30.

  6. Khan N, Rashid M, Khan I, Ur Rehman S, Ur Rashid H, Khurshid M, et al. Satisfaction in patients after rhinoplasty using the rhinoplasty outcome evaluation questionnaire. Cureus. 2019;11:e5283

  7. Asamblea General. Declaración de Helsinki. Principios éticos para las investigaciones en seres humanos. 59a. Seúl: Corea. 2008 [acceso 01/11/2021]. Disponible en: Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/ 7.

  8. Letor Mena JJ, Astudillo Molina JM, Pedroza Campo F, Ramírez Rivera ME, Mogrovejo Freire LE. Medidas antropométricas de pirámide nasal en jóvenes ecuatorianos y sus preferencias cosméticas. Acta Otorrinolaringologia Cir Cabeza Cuello. 2018;46:39-45.

  9. Frame JD. New concepts in nasal tip rhinoplasty. Oral maxilofacial Surgry Clinics. 2021 [acceso 02/11/2021];33(1):71-82. Disponible en: https://www.oralmaxsurgery.theclinics.com/article/S1042-3699(20)30093-5/fulltex9. t

  10. Sulyman O, Dayan S. Narrowing the Wide Tip via endonasal approach. Facial Plast Surg. 2021 [acceso 05/11/2021]. Disponible en: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0041-173556110.

  11. Cordero-Yanza JA, Hernaiz-Leonardo JC, Mancera-Sánchez J, Tinajero-Esquivel MM, Ramírez-Oropeza FJ. Cambios transquirúrgicos en la proyección y rotación de la punta nasal con el uso de la sutura septocolumelar. An Orl Mex. 2019;64:171-6.

  12. Peck GC. Techniques in Aesthetic Rhinoplasty, 2nded. Buckinghamshire: Gower Medical Publishing; 1990. p. 137-41.

  13. Toriumi DM. Nasal tip contouring: anatomic basis for management. Facial Plastic Surgery & Aesthetic Medicine. 2020 [acceso 10/12/2021];22:1. Disponible en: https://www.liebertpub.com/doi/10.1089/fpsam.2019.29006.tor13.

  14. Kosins AM, Daniel RK. Decision Making in Preservation Rhinoplasty: a 100-case series with one-year follow-up. Aesthet Surg J. 2020 [acceso 25/10/2021];40(1):34-48. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30958525/14.

  15. Vallarta-Rodríguez RA, Chávez-Osorio FD, Rojas-García P, González-Alvarado C, Vallarta-Compeán S. Rinoplastia funcional y estética, fusionando conceptos. Cir Plást Iberolatinoam. 2018;44:355-62

  16. Alsarraf R. Outcomes research in facial plastic surgery: a review and new directions. Aesthetic Plast Surg. 2000;24:192-7.

  17. Sena Esteves S, Gonçalves Ferreira M, Carvalho Almeida J, Abrunhosa J, Almeida C, Sousa E, et al. Evaluation of aesthetic and functional outcomes in rhinoplasty surgery: a prospective study. Braz J Otorhinolaryngol. 2019;85:170-5.

  18. Gökçe Kütük S, Arikan OK. Evaluation of the effects of open and closed rhinoplasty on the psychosocial stress level and quality of life of rhinoplasty patients. J Plast Reconstr Aesthet Surg. 2019;72:1347-54.




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