The Radix Graft in Cosmetic Rhinoplasty
Daniel G. Becker, MD;
Norman J. Pastorek, MD
Arch Facial Plast Surg. 2001;3:115-119.
Experience with rhinoplasty over time has shown that a detailed anatomic
analysis of the nose is an essential first step in achieving a successful
outcome. Failure to recognize a particular anatomic point preoperatively will
often lead to a less than ideal long-term result. Deficiency in the radix
is a commonly overlooked abnormality that may be found both in patients undergoing
primary rhinoplasty and patients undergoing revision rhinoplasty after an
overzealous bony hump removal. Whereas surgeons previously reduced the nasal
dorsum down to the level of the radix on a routine basis, recent emphasis
on a strong natural profile has focused attention on anatomic deficiency in
the radix region. We describe a simple technique for treatment of the deep
nasofrontal angle and present patient examples. Autologous cartilage grafts
may be fashioned into a "radix graft" and reliably used to augment the region
either with a precise pocket approach or without when a precise pocket is
not possible, achieving a natural aesthetic result.
From the Division of Rhinology and Facial Plastic & Reconstructive
Surgery, Department of Otorhinolaryngology–Head & Neck Surgery,
University of Pennsylvania, Philadelphia (Dr Becker); and the Division of
Facial Plastic Surgery, Department of Otolaryngology, New York Hospital–Cornell
Medical Center, New York City (Dr Pastorek).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
The Use of Nasion Grafts in Cosmetic Rhinoplasty
Bortnick
Arch Facial Plast Surg 2001;3:282-282.
FULL TEXT
The Radix Graft in Cosmetic Rhinoplasty
Johnson and Alsarraf
Arch Facial Plast Surg 2001;3:120-121.
FULL TEXT
|
