Write a short note on nasal tip-plasty/ What are different surgical approaches to nasal tip? What are the indications of nasal tip surgery? What are the complications of nasal tip surgery?
Tip-plasty is surgical surgical procedure performed for deformity of tip of nose with intervention on the roof.
The various surgical approaches to the nasal tip includes the following:
Cartilage-splitting approach
Tip delivery approach
Retrograde approach
External rhinoplasty
To achieve tip definition and refinement, it is necessary to narrow nasal tip. The various methods include:
Removal of cephalic strip of the lower lateral cartilage
Vertical division ± strip excision of lower lateral cartilage
Tip suturing
Tip grafting
Approximately 10 mm of lower cartilage should be left insitu to avoid buckling of the cartilage with the formation of bossae.
The lateral part of the lower lateral cartilage is left intact to maintain the integrity of the nasal valve.
INDICATIONS OF TIP-PLASTY:
The following are the indications of tip plasty:
Correction of the over projecting tip: Medial and lateral vertical segment excision is done by transfixation incision/ Goldman vertical dome division.
Correction of under projecting nasal tip: Goldman tip-plasty/ only graft/ lateral crus steal/shield graft
Protection