This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

The Lateral Crural Steal

Russell W. H. Kridel, MD; Raymond J. Konior, MD; Kevin A. Shumrick, MD; William K. Wright, MD

Arch Otolaryngol Head Neck Surg. 1989;115(10):1206-1212.

Abstract
• Increasing nasal tip projection, rotation, and definition have classically been attempted through a variety of lobular cartilage incising or excising techniques. Resultant long-term complications, including bossing, alar notching, pinched tips, and alar collapse, have occasionally resulted from the use of these techniques. The majority of these complications have arisen secondary to a loss of structural support following the interruption of the lower lateral cartilages. This article describes the "lateral crural steal," a method of increasing nasal tip projection and nasal tip rotation while preserving the integrity of the lobular cartilage complex. The procedure uses the external rhinoplasty approach for exposure. By elevating both the dorsal and the vestibular skin from the domes of the lobular cartilages, the lateral crura may be advanced onto the medial crura to further project the nasal tip and to reorient the tip upward. This technique along with its philosophy and long-term follow-up results are presented.

(Arch Otolaryngol Head Neck Surg. 1989;115:1206-1212)

Author Affiliations
From the Department of Otolaryngology–Head and Neck Surgery, University of Texas, Houston (Drs Kridel, Konior, and Wright); Department of Otolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Tex (Drs Kridel and Wright); and Department of Otolaryngology and Maxillofacial Surgery, Cincinnati, Ohio (Dr Shumrick).

Footnotes
Accepted for publication April 13, 1989.

Read before the American Academy of Facial Plastic and Reconstructive Surgery, Chicago, Ill, September 19, 1987.

Reprint requests to 1200 Binz, Suite 1350, Houston, TX 77004 (Dr Kridel).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Domal Stabilization Suture in Tip Rhinoplasty
Corrado et al.
Arch Facial Plast Surg 2009;11:194-197.
ABSTRACT | FULL TEXT  

Defining Nasal Cartilage Elasticity: Biomechanical Testing of the Tripod Theory Based on a Cantilevered Model
Westreich et al.
Arch Facial Plast Surg 2007;9:264-270.
ABSTRACT | FULL TEXT  

The M-Arch Model: A New Concept of Nasal Tip Dynamics
Adamson et al.
Arch Facial Plast Surg 2006;8:16-25.
ABSTRACT | FULL TEXT  

Interlocked Transdomal Suture Technique for the Wide Interdomal Space in Rhinoplasty
Papel
Arch Facial Plast Surg 2005;7:414-417.
FULL TEXT  

The Quantification of Surgical Changes in Nasal Tip Support
Beaty et al.
Arch Facial Plast Surg 2002;4:82-91.
ABSTRACT | FULL TEXT  

Lateral Crural Steal and Lateral Crural Overlay: An Objective Evaluation
Foda and Kridel
Arch Otolaryngol Head Neck Surg 1999;125:1365-1370.
ABSTRACT | FULL TEXT  

The Tongue-in-Groove Technique in Septorhinoplasty: A 10-Year Experience
Kridel et al.
Arch Facial Plast Surg 1999;1:246-256.
ABSTRACT | FULL TEXT  

The Contoured Auricular Projection Graft for Nasal Tip Projection
Porter et al.
Arch Facial Plast Surg 1999;1:312-315.
ABSTRACT | FULL TEXT  

Vertical Dome Division in Open Rhinoplasty: An Update on Indications, Techniques, and Results
Adamson et al.
Arch Otolaryngol Head Neck Surg 1994;120:373-380.
ABSTRACT  

The Effects of Lower Lateral Cartilage Excision on Nasal Tip Projection
Rich et al.
Arch Otolaryngol Head Neck Surg 1991;117:56-59.
ABSTRACT