The drooping tip deformity is both a bothersome aesthetic feature and functional impairment of the nose. Both static and dynamic factors may affect tip appearance and it seems logical to take into account these factors when planning correction of drooping tip. Many studies have examined this topic, but its treatment remains controversial. In order to make nasal tip surgery successful, it is useful to identify the keystone anatomical characteristics of the tip itself. Naso-labial angle, nostril axis, tip rotation angle according to Frankfort plane and columellar-facial angle may be measured to assess nasal tip position. The present study focuses on the authors' personal experience on the key anatomic changes of the nose that deserve correction and on the main surgical steps needed to achieve consistent results when dealing with a drooping tip. Pre- and post-operative nasal tip rotation and projection were studied. Correction of the drooping tip was accomplished by an open or closed septorhinoplasty approach according to patient's needs. The surgical techniques mostly employed for tip repositioning was septum straightening (41/41) and tongue-in-groove (36/41 cases) (87.8%). A columellar strut was used in 8/41 (19.51%) cases. LLC cephalic resection was applied in 29/41 patients (70.73%), LLC re-orienting sutures were made in 18/41 cases (43.9%) and lateral crural overlay was needed in 2/41 (4.8%). The key anatomic changes of the nose that deserve correction and the surgical steps needed to ease the often intriguing pre-operative decision-making process are reviewed.

Giacomini, P., Rubino, S., Mocella, S., Pascali, M., Di Girolamo, S. (2017). Approach to the correction of drooping tip: Common problems and solutions|Approccio alla correzione della punta cadente: Problemi comuni e soluzioni. ACTA OTORHINOLARYNGOLOGICA ITALICA, 37(4), 295-302 [10.14639/0392-100X-911].

Approach to the correction of drooping tip: Common problems and solutions|Approccio alla correzione della punta cadente: Problemi comuni e soluzioni

Giacomini, PG;Pascali, M;Di Girolamo, S
2017-02-01

Abstract

The drooping tip deformity is both a bothersome aesthetic feature and functional impairment of the nose. Both static and dynamic factors may affect tip appearance and it seems logical to take into account these factors when planning correction of drooping tip. Many studies have examined this topic, but its treatment remains controversial. In order to make nasal tip surgery successful, it is useful to identify the keystone anatomical characteristics of the tip itself. Naso-labial angle, nostril axis, tip rotation angle according to Frankfort plane and columellar-facial angle may be measured to assess nasal tip position. The present study focuses on the authors' personal experience on the key anatomic changes of the nose that deserve correction and on the main surgical steps needed to achieve consistent results when dealing with a drooping tip. Pre- and post-operative nasal tip rotation and projection were studied. Correction of the drooping tip was accomplished by an open or closed septorhinoplasty approach according to patient's needs. The surgical techniques mostly employed for tip repositioning was septum straightening (41/41) and tongue-in-groove (36/41 cases) (87.8%). A columellar strut was used in 8/41 (19.51%) cases. LLC cephalic resection was applied in 29/41 patients (70.73%), LLC re-orienting sutures were made in 18/41 cases (43.9%) and lateral crural overlay was needed in 2/41 (4.8%). The key anatomic changes of the nose that deserve correction and the surgical steps needed to ease the often intriguing pre-operative decision-making process are reviewed.
feb-2017
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/31 - OTORINOLARINGOIATRIA
English
Con Impact Factor ISI
Drooping tip; Rhinoplasty; Tip measurements; Tip surgery
Giacomini, P., Rubino, S., Mocella, S., Pascali, M., Di Girolamo, S. (2017). Approach to the correction of drooping tip: Common problems and solutions|Approccio alla correzione della punta cadente: Problemi comuni e soluzioni. ACTA OTORHINOLARYNGOLOGICA ITALICA, 37(4), 295-302 [10.14639/0392-100X-911].
Giacomini, P; Rubino, S; Mocella, S; Pascali, M; Di Girolamo, S
Articolo su rivista
File in questo prodotto:
File Dimensione Formato  
DROOPING TIP.pdf

solo utenti autorizzati

Licenza: Copyright dell'editore
Dimensione 371.53 kB
Formato Adobe PDF
371.53 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/196342
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 6
  • ???jsp.display-item.citation.isi??? 5
social impact