Abstract
Abstract Objective: Reposition of malpositioned lateral crura to normal position in rhinoplasty is important both functionally and aesthetically. The aim of this study is to describe a lateral cruras reposition suture technique for supplying tip symmetry and avoiding crural displacement. Patient and Method: Sixteen primary rhinoplasty cases with malpositioned lateral crura underwent lateral crural control suture (LCCS) were reported. In this technique dissected and released lateral crura were fixed to cheek skin with a suture. Those cases were assessed with FACE-Q rhinology module both aesthetically and functionally. Result: Intraoperative or postoperative lateral crural displacement can be prevented and nasal tip symmetry can be supplied easily with LCCS. Results were satisfactory both functionally and aesthetically. Conclusion: LCCS is a good alternative to correct lateral crural malposition and obtain a tip symmetry.
Highlights
The lateral crus play a significant role in aesthetic appearance and breathing function of the nose
The lateral crural strut developed by Gunter and Friedman uses a cartilage graft sutured to the under surface of the cephalic end of the existing lateral crus
Lateral crural corrections were done after routine open technique rhinoplasty procedures and before tipplasty
Summary
The lateral crus play a significant role in aesthetic appearance and breathing function of the nose. There are various surgical techniques to correct alar cartilage malposition in rhinoplasty. These techniques on lateral targets to treat both functional and aesthetic deformities. The lateral crural strut developed by Gunter and Friedman uses a cartilage graft sutured to the under surface of the cephalic end of the existing lateral crus. It is the most widely used and successful procedure in correction of alar retraction [10]. A lateral cru repositions suture technique to supply tip symmetry and avoid displacement of crura is presented
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