Cupuloplasty for Mestizo Nose
Volume 1 - Issue 3
Enrique Hernandez Vidal1*, Juan Eugenio Salas Galicia1 and Enrique Hernandez Del Moral2
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- 1Department of Otorhinolaryngology and Head and Neck Surgeon, Mexico
- 2General Practitioner, Mexico
*Corresponding author:
Enrique Hernandez Vidal, Department of Otorhinolaryngology and Head and Neck Surgeon, Tabasco,
Mexico
Received: December 05, 2018; Published: December 17, 2018
DOI: 10.32474/SJO.2018.01.000115
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Abstract
Background: The rhinoplasty techniques which are described by most authors are applied on leptorrhine-type noses and
have some or no success at all in platyrrhine- and mesorrhine-type noses (Mestizo nose) as for the former reduction and removal
techniques are used; whereas, in the latter, increase and elevation techniques are used. Objective. To provide an alternate surgical
solution which offers proper results in patients with mesorrhine- or platyrrhine-type nose.
Materials and methods: Pre- and post-operative photographic records of 200 patients were utilized in this investigation. The
same surgical technique was used in all cases, with variations related to the size and severity of the case.
Results: In a case in which no cardinal points were set, some loss of the nasal tip and the natural luminous points in it, as well
as some upper depression of lateral crura, were noted. In a case in which no anterior elongated trapezoidal graft was placed, there
was no adequate definition of the nasal tip in the natural form of its characteristic double fold.
Conclusion: Using this technique can help to define, thin, project and turn the nasal tip, give the height as desired, and lift the
nasal dorsum when required. This is a highly accessible technique to lift the dorsum through osteo-cartilaginous or cartilaginous
grafts with the anterior support (nasal tip) strengthened. This technique also works to increase the strength of tissue by providing
an excellent structural support to the axis columella-alar-nose tip, without any elasticity or movement loss since the grafts are
sufficiently thin.
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