ABSTRACT
Nose is the most three dimensional structure located on the central portion of the face. Therefore, the nasal shape is one of the most important factors on deciding upon one's impression. Hump-nose is characterized by nasal hump, acute tip angle, drooping or/and under-projection of tip, and broad nasal dorsum. Because of these characteristics, recently more patients with hump-nose are inclined to correct their problematic nose. The purpose of this study was to classify hump-nose according to hump size and provide proper operating methods in each group. From August 2003 to August 2005, in 46 cases, we classified the hump nose into three groups, small(group A; n=30), medium(group B; n=6), and large(group C; n=10) in accordance with size and location of hump and in each group we effectively corrected the hump with our proper operating methods. In the large group, one case of tension nose temporarily appeared but soon improved and we obtained satisfactory results in the other cases.
Subject(s)
Humans , NoseABSTRACT
The nose is the most 3-dimensional structure located on the central area of the face. Rhinoplasty using autogenous tissues and alloplastic materials has been performed for augmentation of nasal tip and dorsum in Asia. For batten graft, spreader graft, columellar strut and/or tip plasty, autogenous tissue especially nasal septal cartilage is very useful. Sometimes surgeon is faced to the situation when usable septal cartilage is too small so other tissues or materials are needed during the operation. The purpose of this study is that we should predict the amount of obtainable septal cartilage by variant measurements of the nose and investigated relationship each other. From December 2002 to February 2004, on the 31 cases that operated rhinoplasty using septal cartilage, we took variable measurements such as nasal length, tip width, nasal basal width, nasal height, columellar width and length of nostril long axis preoperatively. Then we investigated the relationship with amount of actual harvested septal cartilage. As a result, the nasal length was the most correlated with cartilage amount statistically and tip and base width were correlated as well. In this study we concluded that nasal length was the most indicating parameter to predict amount of septal cartilage.