New insights into tip supporting structures. Consequences for nasal surgery
Volume: 58 - Issue: 5
First page: 506 - Last page: 515
M. Popko - E.H. Huizing - D.J. Menger - S.A.M.W. Verlinde-Schellekens - S. Mackaaij - R.L.A.W. Bleys
BACKGROUND: Knowledge of tip supporting structures is crucial for successful rhinoplastic surgery. The aim of this study was to provide detailed anatomical and histological descriptions of the tip supporting structures.
METHODS: Serial coronal sections of the entire external noses from seven cadavers were studied after staining by Mallory-Cason and Verhoeff-Van Gieson procedures.
RESULTS AND CONCLUSIONS: We found no histological evidence of ligaments between the cartilaginous- and bony parts of the nasal skeleton, and between the skin and the nasal skeleton. Instead, we found a perichondrial-periosteal lining within the soft tissue envelope. The main tip supporting and shaping structures are: septal and lobular cartilages, premaxillae, and the soft tissue envelope including the periosteal-perichondrial envelope/membrane. These findings may have clinical relevance in functional and aesthetic rhinoplasties.
Rhinology 58-5: 506-515, 2020
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