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  • Title: The evaluation of transseptal transfixion incision for preservation [corrected] of the nasal tip projection.
    Author: Tercan M, Celik E.
    Journal: Ann Plast Surg; 2009 Jun; 62(6):609-12. PubMed ID: 19461269.
    Abstract:
    Rhinoplasty surgery has been among the most popular techniques sought by men and women in the last decade. Since Dr John Roe's endonasal rhinoplasty approach was first introduced in 1887, loss of nasal tip projection has been a challenging problem. To solve this problem, a variety of technical methods have been presented by many authors.In this study, the transseptal transfixion incision method was used to preserve the nasal tip projection. Transmembranous transfixion incisions were used and a 2-mm cartilaginous strip was left attached to the membranous septum. At the end of the operation, the cartilaginous strip was used as a strut flap. To evaluate nasal tip projection, preoperative and postoperative lateral view photos of all patients were marked at reference points (lateral cantus, alar groove, and angulus oris) and overlapped. The changes of the nose were clearly evaluated using Photoshop CS and Macromedia Fireworks in accordance with clinimetric analysis methods. All patients were evaluated at 12 months postoperatively. Although we did not use the additional tip projecting method, including cartilage graft, suture of nasal tip projections went well and columella appearances were natural. In this technique, extra time and both autologous and artificial tissue are not required to maintain the nasal tip support. The main anatomic relation between lower lateral cartilages and septum is not disturbed and the appearance of the nasal tip is more natural. It is easy to determine how much the caudal septum will be reduced.
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