Medial Crura Footplate Reduction and its Effects on Nasal Measurement
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Abstract
Background: The impact of medial crura footplate reduction on nasal measurements
Methodology: An external incision exposes the alar cartilages and nasal dorsum. Equal lengths are cut from both footplates after exposure. New domes were created by medialisation of the lower lateral cartilage. The medical crura was attached to the distal septum using tongue-in-groove technique with a superior position suture along the vertical axis of the septum which resulted in increase in projection and rotation.
Results: The mean preoperative Dorsal Length (DL) was 5.87 and the mean immediate post-operative DL was 4.5. The mean one-month post-operative DL was 4.380. The pre and immediate post-operative DL and the immediate post-operative and one-month follow up DL gave a p-value of 0.000 which was statistically significant (Table 4).
Conclusion: Excessive Nasal tip projection beyond the facial line is typically related to excessively long alar cartilages. These elongated cartilages become compressed longitudinally leading to bending and distortion. By medialising the alar cartilages and by shortening the footplates combined with tongue-in-groove sutures the stability was preserved and the natural curvature of the arch was maintained improving the nasal rotation and the projection effectively in our study.
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