Abstract

CASTRO GOVEA, Y. et al. Angulated extended collumelar graft. A method to prevent the cephalic and lateral rotation of the cartilage graft in the nasal tip. Cir. plást. iberolatinoam. [online]. 2011, vol.37, n.2, pp.101-110. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922011000200001.

The mestizo patient usually has a small nose, with wide base, round nostrils and convex dorsum. The alar cartilages are weak, thin and short, providing a deficient structural support and poor definition of the nasal tip. Cartilage graft in the nasal tip are very often used to correct this condition, but a commun problem of this procedure is the cephalic or lateral rotation of these grafts. We used an angulated extended collumalar graft to give collumelar support and elongation. The angulated extension of the graft provides a better control and prediction of the position of the grafts of the nasal tip preventing the lateral and cephalic displacement. The surgical protocol included a medical history, development of a surgical plan by analysis of the deformity and the use of pre/and postoperative photographs taken at both intermediate and long time, and long/term follow-up visits for evaluation of the results. Ninety-five patients underwent surgery using this procedure: 75 whit an open technique and 20 with a closed technique. Follow/up ranged from 6 months to 4 years. The results obtained were satisfactory, showing better control and prediction of the shape of the nasal tip. As a conclusion, in our experiencie, the angulated extended collumelar graft provides better control of the proyection and angularity of cartilage grafts pleced in the nasal tip.

Keywords : Rhinoplsty; Mestizo nose; Columellar graft; Alar cartilage.

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