Document Detail

Reducing the risk of cartilaginous supratip deformities.
MedLine Citation:
PMID:  8907259     Owner:  NLM     Status:  MEDLINE    
One of the most dramatic results of aesthetic rhinoplastic surgery is that of a pleasing profile. Tip position, a barometer of the acceptable profile, is important to obtain a successful result. However, because of local anesthetic and surgical edema, realization of the final tip position in relation to the supratip dorsum can be deceiving. Postoperative tip drop must be considered when the final intraoperative result is reached. Gender of the patient plays a large part in the tip position desired. Males tend to prefer straighter dorsal profiles. Females often desire a greater difference between the tip and dorsum. Achieving these results can be difficult; therefore, the purpose of this discussion is to quantify, numerically, the difference between immediate postoperative results and one-year results. To quantify these differences, intraoperative measurements of the tip/supratip difference were made in 23 patients. These measurements were then compared with the one-year postoperative results. For female patients, the results indicate a 4 mm to 7 mm intraoperative difference to achieve a 0 mm to 2 mm postoperative difference. In males, the immediate postoperative measurement should be 3 mm to 4 mm in order to obtain a result of 0 mm to 1 mm, the ideal for a male.
S E Gilbert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Oklahoma State Medical Association     Volume:  89     ISSN:  0030-1876     ISO Abbreviation:  J Okla State Med Assoc     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1997-03-07     Completed Date:  1997-03-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503043     Medline TA:  J Okla State Med Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-7     Citation Subset:  IM    
Facial Plastic Surgery Center, Tulsa, OK 74104, USA.
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MeSH Terms
Follow-Up Studies
Middle Aged
Nose Deformities, Acquired / etiology*
Patient Satisfaction
Postoperative Complications / etiology*
Rhinoplasty / methods*
Treatment Outcome
Wound Healing / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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