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THE EFFECTS OF TIP-BINDING SUTURES AND CARTILAGINOUS GRAFTS ON NASAL TIP PROJECTION AND ROTATION

• 2005
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Publication Information
Authors Sobhy Abou EI-Fotouh MD
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publication.type International
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Abstract
ugll many techniques have been described to achieve a desired ~=w fn up surgery, there are Jew studies thar define or analyze the I occur after surgery. This study was made to document ~ nasal tip projection. crural and lobular lengths of the columel· lengch. and proportional relationships oj tip projecrion and DtILT.a.:a. l.:irh docsaliength. ~; sru.dy :.1..'as conducted on 20 patienrs who unden..L'enr pri.iTlarj I.:'t!::~:y. Patients were classified into 2 groups,{ group 1, [he rip· """M'nn surure group) and group 2 (the cartilaginous graft group). Analy· based on data coliectedJrom preoperative and l-year postopera--a,l vie!.L's ojpatients. The measurements were obtained USli,g the ers regarding tip projection and rotation on standardized phoro::soThe L'alues were statistically analyzed with paired and unpaired ---:.e changes in all parameters except crural length were statistically • in the tip-binding suture group. In contrast. the statistical :.s oj che cartilaginous graft group revealed prominent dimen. ~l;,ar!ges in tip projection and especially in crural and lobular seg"ecommended that the cartilaginOUS grafts should be considered if ';,ensional changes have priority in the preoperative plan. The coluh.£UU!' suut graft provides satisfactory structural tip support and dimen· wl changes in crural length. Shield grafting causes augmentation in --!obular segment. If minor dimensional changes with more rotational I~ns are planned, tip suture techniques should be preferred