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Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses

BACKGROUND: Obtaining ideal support to maintain the nasal tip has been investigated in several rhinoplasty studies. We aimed to describe a support technique, namely the use of a “hinge strut” (HS) for the nasal tip in Latino noses and to evaluate nasolabial angles at 6-months follow-up. METHODS: In...

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Autores principales: Pérez Willis, Wilder A., Adrianzen Nuñez, Gerardo A., Mendoza Guerra, Cynthia P., Perez Soto, Wilder A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482081/
https://www.ncbi.nlm.nih.gov/pubmed/37681061
http://dx.doi.org/10.1097/GOX.0000000000005274
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author Pérez Willis, Wilder A.
Adrianzen Nuñez, Gerardo A.
Mendoza Guerra, Cynthia P.
Perez Soto, Wilder A.
author_facet Pérez Willis, Wilder A.
Adrianzen Nuñez, Gerardo A.
Mendoza Guerra, Cynthia P.
Perez Soto, Wilder A.
author_sort Pérez Willis, Wilder A.
collection PubMed
description BACKGROUND: Obtaining ideal support to maintain the nasal tip has been investigated in several rhinoplasty studies. We aimed to describe a support technique, namely the use of a “hinge strut” (HS) for the nasal tip in Latino noses and to evaluate nasolabial angles at 6-months follow-up. METHODS: In total, 46 Latino patients who had undergone rhinoplasty using the HS technique between June 2021 and June 2022 were recruited in Lima, Peru. All patients had nasolabial angle measurements taken preoperatively and at 1, 3, and 6 months postoperatively in active and passive positions to evaluate angle changes during this 6-month period. RESULTS: We evaluated 38 women and six men aged 18–45 years (mean age, 25.74 years). In the passive position, the mean nasolabial angles were 91.5 degrees preoperatively and 106, 104, and 103 degrees at 1, 3, and 6 months, respectively, postoperatively. In the active position, the mean nasolabial angles were 85.5 degrees preoperatively and 102.6, 99.1, and 98.1 degrees at 1, 3, and 6 months, respectively, postoperatively (P < 0.0001, using Friedman chi-square test). CONCLUSIONS: The HS technique is safe and reproducible, with nasal tip maintenance and an adequate angle elevation trend observed at 6-months follow-up. Further studies and longer observation times are necessary to determine longer-term outcomes.
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spelling pubmed-104820812023-09-07 Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses Pérez Willis, Wilder A. Adrianzen Nuñez, Gerardo A. Mendoza Guerra, Cynthia P. Perez Soto, Wilder A. Plast Reconstr Surg Glob Open Cosmetic BACKGROUND: Obtaining ideal support to maintain the nasal tip has been investigated in several rhinoplasty studies. We aimed to describe a support technique, namely the use of a “hinge strut” (HS) for the nasal tip in Latino noses and to evaluate nasolabial angles at 6-months follow-up. METHODS: In total, 46 Latino patients who had undergone rhinoplasty using the HS technique between June 2021 and June 2022 were recruited in Lima, Peru. All patients had nasolabial angle measurements taken preoperatively and at 1, 3, and 6 months postoperatively in active and passive positions to evaluate angle changes during this 6-month period. RESULTS: We evaluated 38 women and six men aged 18–45 years (mean age, 25.74 years). In the passive position, the mean nasolabial angles were 91.5 degrees preoperatively and 106, 104, and 103 degrees at 1, 3, and 6 months, respectively, postoperatively. In the active position, the mean nasolabial angles were 85.5 degrees preoperatively and 102.6, 99.1, and 98.1 degrees at 1, 3, and 6 months, respectively, postoperatively (P < 0.0001, using Friedman chi-square test). CONCLUSIONS: The HS technique is safe and reproducible, with nasal tip maintenance and an adequate angle elevation trend observed at 6-months follow-up. Further studies and longer observation times are necessary to determine longer-term outcomes. Lippincott Williams & Wilkins 2023-09-06 /pmc/articles/PMC10482081/ /pubmed/37681061 http://dx.doi.org/10.1097/GOX.0000000000005274 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Cosmetic
Pérez Willis, Wilder A.
Adrianzen Nuñez, Gerardo A.
Mendoza Guerra, Cynthia P.
Perez Soto, Wilder A.
Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses
title Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses
title_full Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses
title_fullStr Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses
title_full_unstemmed Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses
title_short Hinge Strut: A New Septal Strut for Nasal Tip Projection, Definition, and Stability in Latino Noses
title_sort hinge strut: a new septal strut for nasal tip projection, definition, and stability in latino noses
topic Cosmetic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482081/
https://www.ncbi.nlm.nih.gov/pubmed/37681061
http://dx.doi.org/10.1097/GOX.0000000000005274
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