scholarly journals The T‐ Graft to Control Nasal Length and Nasal Tip Position

2021 ◽  
Author(s):  
Dirk Jan Menger
Keyword(s):  
Author(s):  
Dirk Jan Menger

The T-graft is a new tool in the armament of structural rhinoplasty. The graft makes it easy to create a well- balanced nasal framework both for beginners and more experienced rhinoplastic surgeons. Due to its multifunctional character the T-graft allows the surgeon to control nasal length as well as nasal tip projection and -rotation. The T-graft is indicated in many anatomical features like in patients with a short nose or heavy soft tissue envelope, but also in patients with under projection of the nasal tip, under- or over-rotation of the nasal tip and deviations of the caudal nasal septum.


2011 ◽  
Vol 25 (6) ◽  
pp. 429-431 ◽  
Author(s):  
Cemal Cingi ◽  
Murat Songu

Background The nasal tip position and shape is critical to the overall view of the external nose and is significant in planning rhinoplasty procedures. This study was designed to review our experience in nasal tip surgery and to describe our own version of the suture technique in patients having endonasal rhinoplasty. Methods The technique is typically used in combination with other septorhinoplasty maneuvers to achieve the desired functional and cosmetic result. A telephone survey is designed aiming to give general information about the technique's outcomes. Results Our technique reduces excess columellar show and provides adjustable controlled nasal tip rotation and projection. The survey conducted among patients followed > 1 year revealed that most patients (84 of 96) were very to completely satisfied with the appearance and symmetry of their nose. Of these 84 patients, 48 were very satisfied and 36 were completely satisfied with the result. Two patients who required revision surgery were somewhat and moderately satisfied. Conclusion We present this technique to share our experience in modifying the widely accepted “tongue-in-groove” technique in septorhinoplasty. The figure eight-shaped suture, which avoids making the nose too stiff, is the main difference of our method.


2021 ◽  
Vol 5 (1) ◽  
pp. 23
Author(s):  
Devyana Enggar Taslima ◽  
Muhammad Taufik ◽  
Muhammad Jailani ◽  
Syamsul Rizal ◽  
Mirnasari Amirsyaha

Background : Nasal deformity associated with cleft lip has been viewed as one of the most challenging reconstructive problems in rhinoplasty.(1) The common clinical features associated with cleft lip nasal deformity are its lack of symmetry, alar collapse on the affected side, short nasal length, loss of tip definition, obtuse nasal labial angle, and altered columella show among others.(2) The complexity of cleft lip rhinoplasty is demonstrated by the abundance of technique that is available for its correction.(3) In this case we used the technique that modified by Dr. Muhammad Jailani, SpBP-RE in Aceh.Methods: We conducted a retroperspective study involving 139 patients who is done the rhinoplasty unilateral operation at Malahayati Hospital from January 2017 to November 2019. Demographic information was recorded such as ratio between pre – operation and post – operation, gender and age.Results : Our results has shown the result of comparison between cleft nose before rhinoplasty and cleft nose after rhinoplasty is ±0.26 : ±0.58, and the patients who came to the hospital to do the rhinoplasty unilateral surgery are 81% from 139 patients. Woman (61.2%) experience rhinoplasty more dominant compare to man (38.8%), and the highest age average is between 1 years old until 7 years old (71%)Conclusions: Improvement in procedure’s duration and better positioning of both nasal tip and nostril. Expected improvements in terms of aesthetic and functions were observed but further documentations still needed.


2008 ◽  
Vol 18 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Hajime Utsuno ◽  
Toru Kageyama ◽  
Keiichi Uchida ◽  
Toshio Deguchi ◽  
Hiroo Miyazawa ◽  
...  

2014 ◽  
Vol 08 (02) ◽  
pp. 197-204 ◽  
Author(s):  
Mandava Prasad ◽  
Nellore Chaitanya ◽  
Karnati Praveen Kumar Reddy ◽  
Ashok Kumar Talapaneni ◽  
Vijaya Bhaskar Myla ◽  
...  

ABSTRACT Objective: The purpose of this prospective observational study was to evaluate the relationship between nasal morphology and maxillary skeletal pattern. The clinical significance was to emphasize the importance of role of nasal pattern in diagnosis and treatment planning. Materials and Methods: The sample included the pre-treatment lateral cephalometric radiographs of 180 South Indian adults (94 women, 86 men), aged 18 to 28 years. Six maxillary and six nasal soft tissue parameters were measured. Pearson correlation coefficients and Analysis of variance were used for statistical analyses. Results: There were significant correlations between maxillary vertical and sagittal, skeletal and soft tissue parameters. The Mean and standard deviations were correlated between low insignificant range to high significant levels with nasal length, nasal depth and columella convexity. Nasal length also showed significant correlation with inclination of palatal plane. Significant influence of gender was seen on nasal length, nasal depth, columella convexity and nasal tip angle. A statistically significant difference was seen regarding nasal length between males and females, with nasal length being more in males (50.26 ± 4.18) than in females (48.86 ± 3.45), nasal depth being more in males (18.64 ± 2.56) than in females (16.63 ± 2.16), columella convexity being greater in males (4.31 ± 1.26) than in females (3.41 ± 1.13), nasolabial angle decreased in males (87.26° ±13.79°) than in females (89.38° ±15.72°) and nasal tip angle being more in females (80.18° ±9.44°) than in males (73.60° ±10.24°). There was no statistically significant difference in nasal hump between males (-2.01 ± 1.76) and females (-2.02 ± 1.62). Conclusion: Long nose with increased nasal prominence were seen with increase in the anteroposterior length and vertical height of maxilla. Male and female genders had a varied amount of nasal length, nasal depth and columella convexity along with nasal tip angle.


2012 ◽  
Vol 130 (4) ◽  
pp. 926-932 ◽  
Author(s):  
Rod J. Rohrich ◽  
T. Jonathan Kurkjian ◽  
Ronald E. Hoxworth ◽  
Phillip J. Stephan ◽  
Ali Mojallal

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