ABSTRACT
INTRODUCTION: Anatomy, surgical manoeuvres, scarring and physiologic nasal aging determine the final outcome of nasal tip on rhinoplasty patients. PATIENTS AND METHOD: Post-operative nasal tip changes in 182 rhinoplasty patients operated on by the same surgeon and with a minimum one year of follow-up were studied. A personal interview was arranged with all patients and facial photographs were taken. Nasal tip rotation, projection and definition were measured. RESULTS: After multivariate analysis, surgical manoeuvres with a statistical impact on the long-term outcome of the nasal tip were dome lateralization greater than 3 mm, columellar strut and shield graft. DISCUSSION AND CONCLUSIONS: Cartilage reshaping and tip grafting provide consistent long-lasting results in nasal tip surgery.
Subject(s)
Nose/anatomy & histology , Rhinoplasty/methods , Adolescent , Adult , Female , Humans , Male , Middle Aged , Postoperative Period , Time FactorsABSTRACT
Introducción: Los factores anatómicos, las maniobras quirúrgicas y el proceso de cicatrización, así como los efectos del envejecimiento nasal en la nariz, van a determinar el resultado definitivo de la punta nasal en los pacientes intervenidos de rinoplastia. Pacientes y método: Se estudiaron los cambios postoperatorios en la punta nasal de 182 pacientes intervenidos de rinoplastia primaria por un mismo cirujano con un mínimo de 1 año de seguimiento. Se citó a los pacientes para un control en el que se tomaron fotografías y se midieron las variaciones en rotación, proyección y definición de la punta. Resultados: Las maniobras quirúrgicas con impacto estadísticamente significativo en el resultado de la punta nasal a largo plazo, tras el análisis multivariable, fueron la lateralización de los domos > 3 mm, la colocación de un poste intercrural y la utilización del injerto de escudo. Discusión y conclusiones: El reposicionamiento del esqueleto cartilaginoso y la utilización de injertos permiten obtener resultados consistentes y duraderos en la cirugía de la punta nasal (AU)
Introduction: Anatomy, surgical manoeuvres, scarring and physiologic nasal aging determine the final outcome of nasal tip on rhinoplasty patients. Patients and method: Post-operative nasal tip changes in 182 rhinoplasty patients operated on by the same surgeon and with a minimum one year of follow-up were studied. A personal interview was arranged with all patients and facial photographs were taken. Nasal tip rotation, projection and definition were measured. Results: After multivariate analysis, surgical manoeuvres with a statistical impact on the long-term outcome of the nasal tip were dome lateralization greater than 3 mm, columellar strut and shield graft. Discussion and conclusions: Cartilage reshaping and tip grafting provide consistent long-lasting results in nasal tip surgery (AU)