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Management of Upper Lateral Cartilages (ULCs) in Rhinoplasty.

Ashrafi AT - World J Plast Surg (2014)

Bottom Line: There were 7 cases in type I and 8 cases in type IV.Among most cases, the results were satisfactory although there were 8 cases for revision and among them, 2 cases had some fullness on dorsum and supra-tip because of inappropriate judgment on keeping the relationship between dorsum and tip.The problems in the shape and airways role of the nose reduced dramatically and a useful algorithm was presented.

View Article: PubMed Central - PubMed

Affiliation: Faculty Member in Medical Surgical, Department of Plastic Surgery, Mazandaran, Sari.

ABSTRACT

Background: Handling of upper lateral cartilages (ULCs) is of prime importance in rhinoplasty. This study presents the experiences among 2500 cases of rhinoplasty in the past 10 years for managing of ULCs to minimize unwilling results of the shape and functional problems of the nose.

Methods: All cases of rhinoplasties were done by the same surgeon from 2002 to 2013. Management of ULCs changed from resection to preserving the ULCs and to enhance their structural and functional roles. The techniques were spreader grafts, suturing of ULC together at the level or above the septum, using ULCs as auto-spreader flaps and very rarely trimming of ULCs unilaterally or bilaterally for making symmetric dorsal aesthetic lines. Fifty cases were operated based on this classification. Most cases were in type II and III. There were 7 cases in type I and 8 cases in type IV.

Results: Among most cases, the results were satisfactory although there were 8 cases for revision and among them, 2 cases had some fullness on dorsum and supra-tip because of inappropriate judgment on keeping the relationship between dorsum and tip. The problems in the shape and airways role of the nose reduced dramatically and a useful algorithm was presented.

Conclusion: ULCs have great important roles in shape and function of nose. Preserving methods to keep these structures are of importance in surgical treatments of primary rhinoplasties. The presented algorithm helps to manage the ULCs in different anatomic types of the noses especially for surgeons who are in learning curve period.

No MeSH data available.


Related in: MedlinePlus

Type III: When there are excess amount of ULCs relative to the desired level of dorsum and tip, these can be folded and used as auto-spreader flaps without any need to trim the ULCs.
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Figure 7: Type III: When there are excess amount of ULCs relative to the desired level of dorsum and tip, these can be folded and used as auto-spreader flaps without any need to trim the ULCs.

Mentions: In type III cases, there are moderate amount of excess cartilage between 3-5 mm and there are enough cartilage to be used as auto-spreader flaps in combination with unilateral or bilateral spreader grafts. Although, there are excess amount of ULCs relative to the desired level of dorsum and tip, however in most of the cases; these can be folded and used as auto-spreader flaps, so there is no need to trim the ULCs (Figure 7-9). In situations where more augmentation of mid-vault needed or there is severe deviation, bilateral or unilateral spreader grafts are used.


Management of Upper Lateral Cartilages (ULCs) in Rhinoplasty.

Ashrafi AT - World J Plast Surg (2014)

Type III: When there are excess amount of ULCs relative to the desired level of dorsum and tip, these can be folded and used as auto-spreader flaps without any need to trim the ULCs.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4237000&req=5

Figure 7: Type III: When there are excess amount of ULCs relative to the desired level of dorsum and tip, these can be folded and used as auto-spreader flaps without any need to trim the ULCs.
Mentions: In type III cases, there are moderate amount of excess cartilage between 3-5 mm and there are enough cartilage to be used as auto-spreader flaps in combination with unilateral or bilateral spreader grafts. Although, there are excess amount of ULCs relative to the desired level of dorsum and tip, however in most of the cases; these can be folded and used as auto-spreader flaps, so there is no need to trim the ULCs (Figure 7-9). In situations where more augmentation of mid-vault needed or there is severe deviation, bilateral or unilateral spreader grafts are used.

Bottom Line: There were 7 cases in type I and 8 cases in type IV.Among most cases, the results were satisfactory although there were 8 cases for revision and among them, 2 cases had some fullness on dorsum and supra-tip because of inappropriate judgment on keeping the relationship between dorsum and tip.The problems in the shape and airways role of the nose reduced dramatically and a useful algorithm was presented.

View Article: PubMed Central - PubMed

Affiliation: Faculty Member in Medical Surgical, Department of Plastic Surgery, Mazandaran, Sari.

ABSTRACT

Background: Handling of upper lateral cartilages (ULCs) is of prime importance in rhinoplasty. This study presents the experiences among 2500 cases of rhinoplasty in the past 10 years for managing of ULCs to minimize unwilling results of the shape and functional problems of the nose.

Methods: All cases of rhinoplasties were done by the same surgeon from 2002 to 2013. Management of ULCs changed from resection to preserving the ULCs and to enhance their structural and functional roles. The techniques were spreader grafts, suturing of ULC together at the level or above the septum, using ULCs as auto-spreader flaps and very rarely trimming of ULCs unilaterally or bilaterally for making symmetric dorsal aesthetic lines. Fifty cases were operated based on this classification. Most cases were in type II and III. There were 7 cases in type I and 8 cases in type IV.

Results: Among most cases, the results were satisfactory although there were 8 cases for revision and among them, 2 cases had some fullness on dorsum and supra-tip because of inappropriate judgment on keeping the relationship between dorsum and tip. The problems in the shape and airways role of the nose reduced dramatically and a useful algorithm was presented.

Conclusion: ULCs have great important roles in shape and function of nose. Preserving methods to keep these structures are of importance in surgical treatments of primary rhinoplasties. The presented algorithm helps to manage the ULCs in different anatomic types of the noses especially for surgeons who are in learning curve period.

No MeSH data available.


Related in: MedlinePlus