ABSTRACT
Division of the lower lateral cartilages in rhinoplasty has long been maligned for
producing unnatural results. However, recognition of medial, intermediate, or lateral
crural discrepancies allows for their division and overlay. By identifying variant
nasal anatomy and understanding the anticipated postsurgical dynamics, the rhinoplasty
surgeon will be able to produce consistent, natural outcomes.
KEYWORDS
Cartilage - division - infratip - tip
REFERENCES
- 1
Goldman I B.
The importance of the mesial crura in nasal-tip reconstruction.
AMA Arch Otolaryngol.
1957;
65
143-147
- 2 Anderson J R. The dynamics of rhinoplasty. In: Proceedings of the Ninth International
Congress in Otorhinolaryngology. Excerpta Medica, International Congress Series 206. Amsterdam;
Excerpta Medica 1969
- 3
Kridel R W, Konior R J.
Controlled nasal tip rotation with the lateral crural overlay technique.
Arch Otol Head Neck Surg.
1991;
117
411-415
- 4
Adamson P A, McGraw-Wall B L, Morrow T A et al..
Vertical dome division in open rhinoplasty. An update on indications, techniques,
and results.
Arch Otolaryngol Head Neck Surg.
1994;
120
373-380
- 5
Gunter J P, Rohrich R J, Friedman R M.
Classification and correction of alar-columellar discrepancies in rhinoplasty.
Plast Reconstr Surg.
1996;
97
643-648
- 6
Lipsett E M.
A new approach surgery of the lower cartilaginous vault.
AMA Arch Otolaryngol.
1959;
70
42-47
- 7
Foda H M.
Alar setback technique: a controlled method of nasal tip deprojection.
Arch Otolaryngol Head Neck Surg.
2001;
127
1341-1346
- 8
Guyuron B.
Footplates of the medial crura.
Plast Reconstr Surg.
1998;
101
1359-1363
Minas ConstantinidesM.D.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology,
New York University School of Medicine
530 First Avenue, Suite 7U, New York, NY 10016