Application of nasal aesthetic polygon theory in reconstruction of new domes by costal cartilage on nasal tip
10.3760/cma.j.issn.1671-0290.2023.03.005
- VernacularTitle:鼻部多边形理论指导肋软骨穹窿重建移植物在鼻尖成形术的效果
- Author:
Zhengyi XIA
1
;
Xu WANG
;
Wenyun WU
;
Lianqian ZHAO
;
Tao ZHENG
;
Zhen LI
Author Information
1. 北京米扬丽格医疗美容门诊部美容外科，北京 100016
- Keywords:
Rhinoplasty;
Costal cartilage;
Nasal septum;
Dome reconstruction;
Polygons
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(3):182-185
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of nasal aesthetic polygon theory in the reconstruction of new domes on nasal tip with autogenous costal cartilage.Methods:From June 2019 to June 2021, 116 patients (26 males and 90 females) received rhinoplasty, CT-assisted examination of the costal cartilage, nasal bone and nasal cartilage was performed, and the autogenous costal cartilaginous cortex was used to make dome reconstruction grafts that were transplanted to the original alar cartilage and partially fixed to the original nasal septum cartilage to form a satisfactory and natural nasal shape.Results:All the patients were followed up for 6-24 months. No cartilaginous, overrotated or underrotated appearance was found in nasal tip. The shape of nasal tip was clear and good, with an obvious performance point and full lower lobule. The nose was tall and straight, and looked natural and beautiful in three dimensions.Conclusions:The nasal aesthetic polygon theory is used to guide the reconstruction of new domes with autogenous costal cartilage in nasal tip surgery. Compared to the cap and shield grafts, the nasal tip is more close to the normal anatomical structure, the shape and texture are more similiar to the natural state and the nasal tip is softer by using autogenous costal cartilage, and so it is an ideal surgical procedure for nasal tip reconstruction.
