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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(03): e383-e385
DOI: 10.1055/s-0040-1709193
Original Research

The Horn Technique for Nasal Tip Support in Rhinoplasty

Luiz Carlos de Melo Barboza
1   Department of Otorhinolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
Maíra Garcia Martins 
1   Department of Otorhinolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
Carlos Alberto Caropreso
1   Department of Otorhinolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
José Luiz Teixeira Rodrigues
1   Department of Otorhinolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
André Baraldo Rodrigues
1   Department of Otorhinolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
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Abstract

Introduction The predictability of nasal tip projection and rotation after aesthetic surgery is a challenge. Tongue-in-groove (TIG) is an effective technique to control tip projection and rotation, but there may be a small loss of projection and rotation of the tip lobe due to lack of support between the anterior septal angle and the domus, since this region is sustained by medial crusts suture-linked and interdomus sutures.

Objective To describe a new surgery technique in an attempt to correct the lack of support for the nasal tip after lowering the nasal dorsum.

Methods The horn technique consists in preserving a square of cartilage during the removal of the nasal dorsum and septum excess in patients with long and projected nose. This piece will give greater support to the TIG technique and greater predictability of the rotation and projection of the nasal tip.

Results Between 2016 and 2018, 50 patients with long and projected noses were submitted to the “horn technique” surgery. They were submitted to the TIG technique associated to the horn technique. A retrospective review of the preoperative and postoperative photographs (3 months to 1 year) of these patients treated with the horn technique were analyzed and showed better support of the nasal tip.

Conclusion The horn technique provides greater support to the projection and rotation of rhinoplasties in patients with long and projected nose.

Keywords

nasal tip - rhinoplasty - plastic surgery


Publication History

Received: 22 October 2018

Accepted: 17 February 2020

Article published online:
24 September 2020

© 2020. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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