Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts

Guilherme Constante Preis Sella; Bárbara das Neves Linhares; Mario Bazanelli Junqueira Ferraz

doi:doi:10.11648/j.js.20210905.11

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Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts

Guilherme Constante Preis Sella, Bárbara das Neves Linhares, Mario Bazanelli Junqueira Ferraz

Published in Journal of Surgery (Volume 9, Issue 5)

Received: 13 August 2021 Accepted: 27 August 2021 Published: 4 September 2021

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Abstract

Objective: Lateral Crural Tensioning (LCT) is an important technique to refine the tip. However, a frequent problem that can occur is the weakening of the External Nasal Valve (ENV) and the constant use of Articulated Alar Rim Graft (AARG). The aim of this study is to show the results of the same surgeon (MBJZ) within one year of the Modified LCT, and review of the literature. Methods: We analyzes technical details of 149 patients that underwent rhinoplasty in one year (between July 1, 2018 and June 30, 2019) and had at least 1 year of follow-up. Results: Out of 144 patients, 25 (17.36%) were revision surgery. In 114 cases (79.17%) only the septum was used; and Septal Extension Graft (SEG) was performed in 142 of the 144 patients (98.61%). Of these, 130 (91.55%) were latero-lateral and 12 (8.45%) end-to-end. And we found that the modified LCT was used in 136 (94.44%) of the 144 patients; in these, 73 (53.68%) it was necessary to use Floating Alar Rim Graft (FARG) and 5 (3.68%) AARG. Conclusion: we demonstrate a technique that reduce the need for resection of inferior cartilages, the use of grafts and the improvement of nasal function, with strengthening of the ENV without the need to reconstruct the alar border using contour grafts.

Published in	Journal of Surgery (Volume 9, Issue 5)
DOI	10.11648/j.js.20210905.11
Page(s)	220-225
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Rhinoplasty, Lateral Crural Tensioning, External Nasal Valve, Septal Extension Graft, Alar-contour Grafts

References

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APA Style

Guilherme Constante Preis Sella, Bárbara das Neves Linhares, Mario Bazanelli Junqueira Ferraz. (2021). Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts. Journal of Surgery, 9(5), 220-225. https://doi.org/10.11648/j.js.20210905.11

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ACS Style

Guilherme Constante Preis Sella; Bárbara das Neves Linhares; Mario Bazanelli Junqueira Ferraz. Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts. J. Surg. 2021, 9(5), 220-225. doi: 10.11648/j.js.20210905.11

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AMA Style

Guilherme Constante Preis Sella, Bárbara das Neves Linhares, Mario Bazanelli Junqueira Ferraz. Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts. J Surg. 2021;9(5):220-225. doi: 10.11648/j.js.20210905.11

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@article{10.11648/j.js.20210905.11,
  author = {Guilherme Constante Preis Sella and Bárbara das Neves Linhares and Mario Bazanelli Junqueira Ferraz},
  title = {Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts},
  journal = {Journal of Surgery},
  volume = {9},
  number = {5},
  pages = {220-225},
  doi = {10.11648/j.js.20210905.11},
  url = {https://doi.org/10.11648/j.js.20210905.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210905.11},
  abstract = {Objective: Lateral Crural Tensioning (LCT) is an important technique to refine the tip. However, a frequent problem that can occur is the weakening of the External Nasal Valve (ENV) and the constant use of Articulated Alar Rim Graft (AARG). The aim of this study is to show the results of the same surgeon (MBJZ) within one year of the Modified LCT, and review of the literature. Methods: We analyzes technical details of 149 patients that underwent rhinoplasty in one year (between July 1, 2018 and June 30, 2019) and had at least 1 year of follow-up. Results: Out of 144 patients, 25 (17.36%) were revision surgery. In 114 cases (79.17%) only the septum was used; and Septal Extension Graft (SEG) was performed in 142 of the 144 patients (98.61%). Of these, 130 (91.55%) were latero-lateral and 12 (8.45%) end-to-end. And we found that the modified LCT was used in 136 (94.44%) of the 144 patients; in these, 73 (53.68%) it was necessary to use Floating Alar Rim Graft (FARG) and 5 (3.68%) AARG. Conclusion: we demonstrate a technique that reduce the need for resection of inferior cartilages, the use of grafts and the improvement of nasal function, with strengthening of the ENV without the need to reconstruct the alar border using contour grafts.},
 year = {2021}
}

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TY  - JOUR
T1  - Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts
AU  - Guilherme Constante Preis Sella
AU  - Bárbara das Neves Linhares
AU  - Mario Bazanelli Junqueira Ferraz
Y1  - 2021/09/04
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210905.11
DO  - 10.11648/j.js.20210905.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 220
EP  - 225
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210905.11
AB  - Objective: Lateral Crural Tensioning (LCT) is an important technique to refine the tip. However, a frequent problem that can occur is the weakening of the External Nasal Valve (ENV) and the constant use of Articulated Alar Rim Graft (AARG). The aim of this study is to show the results of the same surgeon (MBJZ) within one year of the Modified LCT, and review of the literature. Methods: We analyzes technical details of 149 patients that underwent rhinoplasty in one year (between July 1, 2018 and June 30, 2019) and had at least 1 year of follow-up. Results: Out of 144 patients, 25 (17.36%) were revision surgery. In 114 cases (79.17%) only the septum was used; and Septal Extension Graft (SEG) was performed in 142 of the 144 patients (98.61%). Of these, 130 (91.55%) were latero-lateral and 12 (8.45%) end-to-end. And we found that the modified LCT was used in 136 (94.44%) of the 144 patients; in these, 73 (53.68%) it was necessary to use Floating Alar Rim Graft (FARG) and 5 (3.68%) AARG. Conclusion: we demonstrate a technique that reduce the need for resection of inferior cartilages, the use of grafts and the improvement of nasal function, with strengthening of the ENV without the need to reconstruct the alar border using contour grafts.
VL  - 9
IS  - 5
ER  -

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Author Information

Guilherme Constante Preis Sella

Clínica Avan?ada de Otorrinolaringologia, Facial Plastic Surgery, Maringá, Brasil
Bárbara das Neves Linhares

Clinica Mario Ferraz, Facial Plastic Surgery, Campinas, Brasil
Mario Bazanelli Junqueira Ferraz

Clinica Mario Ferraz, Facial Plastic Surgery, Campinas, Brasil

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Plain Text BibTeX RIS

APA Style

Guilherme Constante Preis Sella, Bárbara das Neves Linhares, Mario Bazanelli Junqueira Ferraz. (2021). Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts. Journal of Surgery, 9(5), 220-225. https://doi.org/10.11648/j.js.20210905.11

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ACS Style

Guilherme Constante Preis Sella; Bárbara das Neves Linhares; Mario Bazanelli Junqueira Ferraz. Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts. J. Surg. 2021, 9(5), 220-225. doi: 10.11648/j.js.20210905.11

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AMA Style

Guilherme Constante Preis Sella, Bárbara das Neves Linhares, Mario Bazanelli Junqueira Ferraz. Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts. J Surg. 2021;9(5):220-225. doi: 10.11648/j.js.20210905.11

Copy | Download

@article{10.11648/j.js.20210905.11,
  author = {Guilherme Constante Preis Sella and Bárbara das Neves Linhares and Mario Bazanelli Junqueira Ferraz},
  title = {Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts},
  journal = {Journal of Surgery},
  volume = {9},
  number = {5},
  pages = {220-225},
  doi = {10.11648/j.js.20210905.11},
  url = {https://doi.org/10.11648/j.js.20210905.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210905.11},
  abstract = {Objective: Lateral Crural Tensioning (LCT) is an important technique to refine the tip. However, a frequent problem that can occur is the weakening of the External Nasal Valve (ENV) and the constant use of Articulated Alar Rim Graft (AARG). The aim of this study is to show the results of the same surgeon (MBJZ) within one year of the Modified LCT, and review of the literature. Methods: We analyzes technical details of 149 patients that underwent rhinoplasty in one year (between July 1, 2018 and June 30, 2019) and had at least 1 year of follow-up. Results: Out of 144 patients, 25 (17.36%) were revision surgery. In 114 cases (79.17%) only the septum was used; and Septal Extension Graft (SEG) was performed in 142 of the 144 patients (98.61%). Of these, 130 (91.55%) were latero-lateral and 12 (8.45%) end-to-end. And we found that the modified LCT was used in 136 (94.44%) of the 144 patients; in these, 73 (53.68%) it was necessary to use Floating Alar Rim Graft (FARG) and 5 (3.68%) AARG. Conclusion: we demonstrate a technique that reduce the need for resection of inferior cartilages, the use of grafts and the improvement of nasal function, with strengthening of the ENV without the need to reconstruct the alar border using contour grafts.},
 year = {2021}
}

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TY  - JOUR
T1  - Modified Lateral Crural Tensioning: Improving the Tip Without Articulated Alar Rim Grafts
AU  - Guilherme Constante Preis Sella
AU  - Bárbara das Neves Linhares
AU  - Mario Bazanelli Junqueira Ferraz
Y1  - 2021/09/04
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210905.11
DO  - 10.11648/j.js.20210905.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 220
EP  - 225
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210905.11
AB  - Objective: Lateral Crural Tensioning (LCT) is an important technique to refine the tip. However, a frequent problem that can occur is the weakening of the External Nasal Valve (ENV) and the constant use of Articulated Alar Rim Graft (AARG). The aim of this study is to show the results of the same surgeon (MBJZ) within one year of the Modified LCT, and review of the literature. Methods: We analyzes technical details of 149 patients that underwent rhinoplasty in one year (between July 1, 2018 and June 30, 2019) and had at least 1 year of follow-up. Results: Out of 144 patients, 25 (17.36%) were revision surgery. In 114 cases (79.17%) only the septum was used; and Septal Extension Graft (SEG) was performed in 142 of the 144 patients (98.61%). Of these, 130 (91.55%) were latero-lateral and 12 (8.45%) end-to-end. And we found that the modified LCT was used in 136 (94.44%) of the 144 patients; in these, 73 (53.68%) it was necessary to use Floating Alar Rim Graft (FARG) and 5 (3.68%) AARG. Conclusion: we demonstrate a technique that reduce the need for resection of inferior cartilages, the use of grafts and the improvement of nasal function, with strengthening of the ENV without the need to reconstruct the alar border using contour grafts.
VL  - 9
IS  - 5
ER  -

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