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

Thomas Romo, III, MD; Aaron L. Shapiro, MD

Arch Otolaryngol Head Neck Surg. 1992;118(8):837-841.

Abstract
• The platyrrhine nose is characterized by a hypoplastic nonprojected nasal tip, wide flaring alae, underdeveloped premaxilla, and lack of nasal dorsal support. Aesthetic nasal reconstruction is performed utilizing the external rhinoplasty technique. Precise placement of nasal augmentation grafts is facilitated by this technique. The harvesting and utilization of a large autogenous nasal fibrofatty graft for finesse dorsal contouring is described. Seventy-five patients underwent aesthetic reconstruction of the platyrrhine nose. Follow-up ranged from 2 to 7 years. No major complications, including extrusion or significant resorption of augmentation grafts, have been observed. Minor complications included notching of the transverse columella incision in 5% (4/75) of cases, observable suture tract marks along the alar closure incision in 4% (3/75) of cases, and alar incision granuloma in 1% (1/75). A modification of our technique, utilizing a two-layer tension-free closure of the columella and alar incisions, has alleviated these complications.

(Arch Otolaryngol Head Neck Surg. 1992;118:837-841)

Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, New York (NY) Medical College (Dr Romo), and the Division of Facial Plastic and Reconstructive Surgery, New York (NY) Eye and Ear Infirmary (Drs Romo and Shapiro).

Footnotes
Accepted for publication March 30, 1992.

Presented, in part, at the fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery, September 28, 1991, Kansas City, Mo.

Reprint requests to 105 W 78th St, New York, NY 10024 (Dr Romo).

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

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Rhinoplasty for African American Patients: A Retrospective Review of 75 Cases
Slupchynskyj and Gieniusz
Arch Facial Plast Surg 2008;10:232-236.
ABSTRACT | FULL TEXT  

Rhinoplasty and the Nasal SMAS Augmentation Graft: Advantages and Indications
Davis and Wayne
Arch Facial Plast Surg 2004;6:124-132.
ABSTRACT | FULL TEXT