Facial plastic surgery : FPS · 2025
Structural Nasal Tip Grafting: Anatomy, Evaluation, and Technique Selection for Durable Aesthetic and Functional Outcomes.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lee Nam K, Winkler Andrew A
Аннотация
AIMS AND BACKGROUNDS: This study aims to review contemporary principles of structural nasal tip grafting and provide a practical framework for selecting techniques that achieve durable aesthetic and functional outcomes.
HISTORICAL ASPECTS: We summarize the evolution from reduction rhinoplasty toward preservation and structural approaches that prioritize long-term tip support.
ANATOMY: Key osteocartilaginous and soft tissue support mechanisms of the nasal tip are outlined with emphasis on major and minor tip support structures.
TECHNOLOGY: Open and endonasal approaches, autologous cartilage sources, and ancillary materials such as fascia are described as tools to modify tip contour and support.
PATIENT SELECTION: Clinical assessment focuses on skin-soft tissue envelope, cartilage strength, airway function, and dynamic deformities.
TECHNIQUES: Stepwise algorithms for columellar strut and septal extension grafts, plumping grafts, alar rim and batten grafts, lateral crural struts, shield and cap grafts, and articulated alar rim grafts are presented.
POST OPERATIVE CARE: Postoperative management to protect graft position and control edema is reviewed.
CURRENT AND FUTURE DEVELOPMENT: Emerging trends toward individualized, data-informed rhinoplasty and objective outcomes assessment are discussed.
CONCLUSIONS AND CLINICAL RELEVANCE: Thoughtful selection and execution of structural tip grafts allow surgeons to achieve stable, reproducible tip shape while optimizing nasal airway function.
HISTORICAL ASPECTS: We summarize the evolution from reduction rhinoplasty toward preservation and structural approaches that prioritize long-term tip support.
ANATOMY: Key osteocartilaginous and soft tissue support mechanisms of the nasal tip are outlined with emphasis on major and minor tip support structures.
TECHNOLOGY: Open and endonasal approaches, autologous cartilage sources, and ancillary materials such as fascia are described as tools to modify tip contour and support.
PATIENT SELECTION: Clinical assessment focuses on skin-soft tissue envelope, cartilage strength, airway function, and dynamic deformities.
TECHNIQUES: Stepwise algorithms for columellar strut and septal extension grafts, plumping grafts, alar rim and batten grafts, lateral crural struts, shield and cap grafts, and articulated alar rim grafts are presented.
POST OPERATIVE CARE: Postoperative management to protect graft position and control edema is reviewed.
CURRENT AND FUTURE DEVELOPMENT: Emerging trends toward individualized, data-informed rhinoplasty and objective outcomes assessment are discussed.
CONCLUSIONS AND CLINICAL RELEVANCE: Thoughtful selection and execution of structural tip grafts allow surgeons to achieve stable, reproducible tip shape while optimizing nasal airway function.