The excessively short nose is a challenging dilemma in rhinoplasty.The variability in patient goals and nasal anatomy prevents a one-size-fits-all approach,yet a collection of commonly employed techniques may be consi...The excessively short nose is a challenging dilemma in rhinoplasty.The variability in patient goals and nasal anatomy prevents a one-size-fits-all approach,yet a collection of commonly employed techniques may be considered when approaching an individual nose.This article discusses the common anatomical abnormalities associated with a short nose and reviews the existing literature on techniques to address these abnormalities and how they may be combined to create a unique surgical plan.Typically,correcting a short nose requires an increase in nasal length and projection,along with a decrease in rotation.Achieving this necessitates a complete release of the soft tissue and ligaments from all bony and cartilaginous attachments to allow for skin redraping,as the mucosa and/or soft tissue envelope often pose limitations.Commonly employed techniques include a septal extension graft,anterior septal reconstruction,lower lateral cartilage repositioning with grafting,tip grafts,and occasionally composite grafts.展开更多
文摘The excessively short nose is a challenging dilemma in rhinoplasty.The variability in patient goals and nasal anatomy prevents a one-size-fits-all approach,yet a collection of commonly employed techniques may be considered when approaching an individual nose.This article discusses the common anatomical abnormalities associated with a short nose and reviews the existing literature on techniques to address these abnormalities and how they may be combined to create a unique surgical plan.Typically,correcting a short nose requires an increase in nasal length and projection,along with a decrease in rotation.Achieving this necessitates a complete release of the soft tissue and ligaments from all bony and cartilaginous attachments to allow for skin redraping,as the mucosa and/or soft tissue envelope often pose limitations.Commonly employed techniques include a septal extension graft,anterior septal reconstruction,lower lateral cartilage repositioning with grafting,tip grafts,and occasionally composite grafts.
