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Management of the nasal tip in the external approach rhinoplasty.

This papaer describes some of the advantages of the external rhinoplastic approach in managing the nasal tip, in particular, in revision surgery and cleft palate nose. It also reviews many of the methods of tip management which are essentially similar in the external and closed procedures e.g. altering projection, rotation and shortening of the tip, and management of asymmetries.

Abnormalities, Multiple↗

[Rhinoplasty].

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Adult↗

[The use of synthetic materials in rhinoplasty].

The ideal implant does not yet exist. Generally, the use of plastic implants in rhino-surgery is of limited indication only. The use of plastic implants in septum surgery is contraindicated. Hard, rigid, insufficiently elastic and perforated implants should not be used in the nasal dorsum. The implantation of mesh material has proved a failure. Only in limited cases of a severely damaged and scarred nasal dorsum the implantation of plastic sponge is indicated. Experience teaches the critical surgeon that occasionally there are defects, which (also due to lack of suitable implant material) cannot be improved with a justifiable prospect of success.

Humans↗