Ordóñez-Ordóñez LE, Navarro-García US, Angulo-Martínez ES. Nasal septum to columella attachment: a major tip support?
Otolaryngol Head Neck Surg 2010;
143:60-5. [PMID:
20620620 DOI:
10.1016/j.otohns.2010.04.013]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2009] [Revised: 04/11/2010] [Accepted: 04/14/2010] [Indexed: 11/15/2022]
Abstract
OBJECTIVE
To determine whether surgical section of attachment of the medial crural footplates to the quadrangular cartilage produces loosening of the nasal tip.
STUDY DESIGN
Prospective, observational, before-and-after study.
SETTING
Tertiary care center.
SUBJECTS AND METHODS
Hispanic patients undergoing septoplasty who required a transfixion incision were included. A six-month postoperative assessment of the nasal tip support was compared with preoperative values. As measures of the nasal tip support, we included tip recoil test, nasolabial angle, tip rotation angle, nasofacial angle, and the Goode method for determining tip projection.
RESULTS
Twenty-seven patients completed the follow-up, and their results are reported. There were no statistically significant differences after septoplasty in any of the five measurements used to assess the nasal tip support (P > 0.05).
CONCLUSION
In this preliminary cohort of Hispanic patients, surgical section of the attachment of the medial crural footplates to the quadrangular cartilage does not produce significant changes in nasal tip support.
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