Nasal sill augmentation: an overlooked concept in rhinoplasty—a technical note and review of the literatures

Maxillofacial Plastic and Reconstructive Surgery

Gholamhossein Adham¹  Seied Omid Keyhan²  Heliya Ziaei³  Hamid Reza Fallahi⁴  Mohan Thomas⁵ 

[1] Department of Oral and Maxillofacial Surgery, Dental School, Guilan University of Medical Sciences, Rasht, Iran;Maxillofacial Surgery and Implantology and Biomaterial Research Foundation, Tehran/Isfahan, Iran;Maxillofacial Surgery and Implantology and Biomaterial Research Foundation, Tehran/Isfahan, Iran;Dental Research Center, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran;Maxillofacial Surgery and Implantology and Biomaterial Research Foundation, Tehran/Isfahan, Iran;Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Mount Sinai School of Medicine, New York, USA;The Cosmetic Surgery Institute, Mumbai, India;

关键词: Rhinoplasty;    Sill graft;    Cartilage graft;    Nasal sill;    Sill augmentation;   

DOI  :  10.1186/s40902-021-00298-3

来源: Springer

【 摘 要 】

BackgroundNasal sill is one of the components of the alar ring, affecting the esthetic outcomes of rhinoplasty; accordingly, we developed a novel technique to adjust defects in this area and compared it with the available techniques.MethodsOur technique was based on creating a tunnel access to the nasal sill area through an incision made in the lower third of the columella using the open approach or through a nostril base incision in patients, who underwent alar base reduction, followed by insertion of a cartilaginous graft into the marked defect area.ResultsA total number of 54 patients with a defect in the nasal sill area were included in this study. Thirty-one patients underwent open rhinoplasty with the sill approach from the lower third of the columella, while 23 patients underwent rhinoplasty with a nostril base approach for nasal sill augmentation procedure. There were no reports of patient dissatisfaction, infection, bleeding, sensory dysfunction, or remaining asymmetry of the sill area.ConclusionBased on the findings of the present study, this technique can be successfully used in reconstructing the nasal sill area with minimal complications and morbidity.

【 授权许可】

CC BY