Facial Plast Surg 2016; 32(04): 339-344
DOI: 10.1055/s-0036-1585424
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Nasal Soft-Tissue Triangle Deformities

Hossam M.T. Foda
1   Division of Facial Plastic Surgery, Otolaryngology Department, Alexandria Medical School, Alexandria, Egypt
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Publikationsverlauf

Publikationsdatum:
05. August 2016 (online)

Abstract

The soft-tissue triangle is one of the least areas attended to in rhinoplasty. Any postoperative retraction, notching, or asymmetries of soft triangles can seriously affect the rhinoplasty outcome. A good understanding of the risk factors predisposing to soft triangle deformities is necessary to prevent such problems. The commonest risk factors in our study were the wide vertical domal angle between the lateral and intermediate crura, and the increased length of intermediate crus. Two types of soft triangle grafts were described to prevent and treat soft triangle deformities. The used soft triangle grafts resulted in an excellent long-term aesthetic and functional improvement.

 
  • References

  • 1 Ali-Salaam P, Kashgarian M, Persing J. The soft triangle revisited. Plast Reconstr Surg 2002; 110 (1) 14-16
  • 2 Nguyen DQA, Motley R, Cooper MA. Repair of nasal soft triangle notching. J Plast Reconstr Aesthet Surg 2008; 61 (8) 966-968
  • 3 Foda HM. Rhinoplasty for the multiply revised nose. Am J Otolaryngol 2005; 26 (1) 28-34
  • 4 Daniel RK. Secondary rhinoplasty following open rhinoplasty. Plast Reconstr Surg 1995; 96 (7) 1539-1546
  • 5 Goodman WS. Recent advances in external rhinoplasty. J Otolaryngol 1981; 10 (6) 433-439
  • 6 Foda HMT. External rhinoplasty: a critical analysis of 500 cases. J Laryngol Otol 2003; 117 (6) 473-477
  • 7 Foda HMT. External rhinoplasty for the Arabian nose: a columellar scar analysis. Aesthetic Plast Surg 2004; 28 (5) 312-316
  • 8 Sheen JH. Aesthetic Rhinoplasty. St. Louis, MO: Mosby; 1978: 432-462
  • 9 Constantian MB. Four common anatomic variants that predispose to unfavorable rhinoplasty results: a study based on 150 consecutive secondary rhinoplasties. Plast Reconstr Surg 2000; 105 (1) 316-331 , discussion 332–333
  • 10 Foda HMT. Management of the droopy tip: a comparison of three alar cartilage-modifying techniques. Plast Reconstr Surg 2003; 112 (5) 1408-1417 , discussion 1418–1421
  • 11 Kridel RW, Konior RJ, Shumrick KA, Wright WK. Advances in nasal tip surgery. The lateral crural steal. Arch Otolaryngol Head Neck Surg 1989; 115 (10) 1206-1212
  • 12 Foda HM, Kridel RW. Lateral crural steal and lateral crural overlay: an objective evaluation. Arch Otolaryngol Head Neck Surg 1999; 125 (12) 1365-1370
  • 13 Lipsett EM. A new approach surgery of the lower cartilaginous vault. AMA Arch Otolaryngol 1959; 70 (1) 42-47
  • 14 McCurdy JA. Reduction of excessive nasal tip projection with a modified Lipsett technique. Ann Plast Surg 1978; 1 (5) 478-480
  • 15 Foda HMT. Alar setback technique: a controlled method of nasal tip deprojection. Arch Otolaryngol Head Neck Surg 2001; 127 (11) 1341-1346
  • 16 Tardy Jr ME, Toriumi D. Alar retraction: composite graft correction. Facial Plast Surg 1989; 6 (2) 101-107
  • 17 Guyuron B. Alar rim deformities. Plast Reconstr Surg 2001; 107 (3) 856-863
  • 18 Constantian MB. Functional effects of alar cartilage malposition. Ann Plast Surg 1993; 30 (6) 487-499
  • 19 Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997; 99 (4) 943-952 , discussion 953–955
  • 20 Toriumi DM, Josen J, Weinberger M, Tardy Jr ME. Use of alar batten grafts for correction of nasal valve collapse. Arch Otolaryngol Head Neck Surg 1997; 123 (8) 802-808