Anatomic basis of notch deformity in open rhinoplasty

Gloria M Gamboa, Paul Shayani, Robert Schmid, Ever Bobadilla, Steven Blackwell, S. Anthony Wolfe

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Notch deformity at the columella after the stairstep incision is an unsightly sequel that fuels negativism for open rhinoplasty critics. Obvious causes cited include surgical misadventures involving division of the foot of the medial crus and poor healing. The authors offer yet an additional etiology based on the contraction distortion caused by the depressor septi nasi muscle. The purpose of this study is to investigate the anatomic basis for notch deformity after stairstep technique in open rhinoplasty. For this anatomic study, 10 fresh cadavers were used. Dissections were performed, exposing the columellar components. The macroscopic and microscopic photo documentation gathered supports the authors' theory that depressor septi nasi action causes skin-edge deformation that leads to closure malalignment and notch deformity. Pre-incision landmark defining tattoo or sutures will assure proper alignment at closure.

Original languageEnglish (US)
Pages (from-to)282-285
Number of pages4
JournalAnnals of Plastic Surgery
Volume50
Issue number3
DOIs
StatePublished - Mar 1 2003

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Rhinoplasty
Negativism
Cadaver
Documentation
Sutures
Dissection
Foot
Muscles
Skin

ASJC Scopus subject areas

  • Surgery

Cite this

Gamboa, G. M., Shayani, P., Schmid, R., Bobadilla, E., Blackwell, S., & Wolfe, S. A. (2003). Anatomic basis of notch deformity in open rhinoplasty. Annals of Plastic Surgery, 50(3), 282-285. https://doi.org/10.1097/01.SAP.0000046783.62702.4E

Anatomic basis of notch deformity in open rhinoplasty. / Gamboa, Gloria M; Shayani, Paul; Schmid, Robert; Bobadilla, Ever; Blackwell, Steven; Wolfe, S. Anthony.

In: Annals of Plastic Surgery, Vol. 50, No. 3, 01.03.2003, p. 282-285.

Research output: Contribution to journalArticle

Gamboa, GM, Shayani, P, Schmid, R, Bobadilla, E, Blackwell, S & Wolfe, SA 2003, 'Anatomic basis of notch deformity in open rhinoplasty', Annals of Plastic Surgery, vol. 50, no. 3, pp. 282-285. https://doi.org/10.1097/01.SAP.0000046783.62702.4E
Gamboa GM, Shayani P, Schmid R, Bobadilla E, Blackwell S, Wolfe SA. Anatomic basis of notch deformity in open rhinoplasty. Annals of Plastic Surgery. 2003 Mar 1;50(3):282-285. https://doi.org/10.1097/01.SAP.0000046783.62702.4E
Gamboa, Gloria M ; Shayani, Paul ; Schmid, Robert ; Bobadilla, Ever ; Blackwell, Steven ; Wolfe, S. Anthony. / Anatomic basis of notch deformity in open rhinoplasty. In: Annals of Plastic Surgery. 2003 ; Vol. 50, No. 3. pp. 282-285.
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