ABSTRACT
The goal of the nasal tip plastic surgery is to reduce or increase, change the shape or/and projection, rotation and contour the tip. This report presents our technique for the reduction and lifting of the nasal tip with a proportional reduction (trim) of the alar cartilage and suture technique--cranio-caudal transdomal sutures. The aim of this study is to analyze and compare the effectiveness of three tipplasty suture techniques to modify nasal tip projection and rotation. Our research is based on 297 operated patients, 165 of them were women (55, 5%) and 132 were men (44, 5%). Rhinoseptoplasty with open approach was applied to 144 of them (48, 4%) and to 153 (51, 6%) of the patients was applied endonasal (delivery) approach. In this paper we compare the postoperative results of three suture methods. We discuss advantages and shortcomings of our technique, compared with the other surgical procedures. There is no one "right" way to nasal tip surgery, only optimal methods for individual cases.
Subject(s)
Nasal Cartilages/surgery , Nasal Septum/surgery , Rhinoplasty/methods , Suture Techniques , Adult , Endoscopy/methods , Esthetics , Female , Humans , Male , Nasal Septum/anatomy & histology , Retrospective Studies , Risk Assessment , Sampling Studies , Treatment OutcomeABSTRACT
Binder syndrome or maxillo-nasal dysplasia (nasomaxillary hypoplasia) is an uncommon developmental anomaly affecting primarily the anterior part of the maxilla and nasal complex. A 4-year-old boy with maxillo-nasal dysplasia (Binder's syndrome), featuring maxillary hypoplasia and relative mandibular prognathism, combined with acute leucosis was presented. We review the literature and describe how three-dimensional CT scanning was used to evaluate the facial morphology. The principal features, diagnosis and management of the syndrome are discussed.