Domal Stabilization Suture in Tip Rhinoplasty

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1、ORIGINALARTICLEDomalStabilizationSutureinTipRhinoplastyAnthonyCorrado,DO;JasonD.Bloom,MD;DanielG.Becker,MDObjective:Toinvestigateuseofthedomalstabiliza-tohelpmaintaindomesymmetryinthesettingofvari-tionsutureasacomplementarysuturemodificationtech-ablehealingandscarringforceswithnocomplicationsniqu

2、eforrefiningandsecuringthenasaltip.andnoeffectontiprotationorprojection.Methods:AsinglepermanentorabsorbablesutureisConclusion:Useofthedomalstabilizationsutureen-placedviaanopenorcartilagedeliveryapproach.Theablescorrectionofsubtlechangesinmildtipasymme-sutureisplacedalongthecephalicbordersofthed

3、omestryandirregularitiesindomalheightandprovidessubtleatthemedialthirdofthelateralcrurabilaterallyjustpos-narrowingoftheinterdomaldistance.teriortothejunctionoftheintermediateandlateralcruraasafinalstepintiprhinoplasty.Results:ThedomalstabilizationsutureprovidedameansArchFacialPlastSurg.2009;11(3

4、):194-197IPREFININGTECHNIQUESdomeunittechniquebyresectingthein-representanevolvingsub-terdomalsofttissue,scoringthedomes,jectinrhinoplasticsur-andpositioningtheknotmediallydeepingery.Earliertechniquestheinterdomalspace.In1987,Daniel8,10Twerebasedonprinciplesofdescribedthedomalcreationsuture,acart

5、ilageremovalordisruptionandre-horizontallyplacedmattresssutureacrossliedondestabilizationoftheintrinsicna-thedomalnotch,whichenabledeachsalframework,disruptingthesupportdometobeshapedseparately.Byadjust-mechanismsofthenasaltipcomplex.1,2ingsuturetension,thedesireddegreeofOverthedecades,philosophi

6、esaboutrhi-domalconvexityandlateralcruralcon-noplasticsurgeryhavechanged.1-8Radi-cavitycouldbeachieved.8,10In1989,Kridelcalcartilageresectionanddisruptionoftipetal11furthermodifiedthesetechniquessupportmechanismshavebeenreplacedanddescribedthelateralcruralstealtech-bytechniquesthatemphasizepreser

7、va-niquetoincreasetipprojectionandrota-tionandreorientationofnasaltipcarti-tion.In1994,Tebbetts2providedasys-lagewhilemaintainingorrestoringintrin-tematic4-stageapproachtotiprhinoplastysictipsupportmechanisms.1,4-6Mode