The M-Arch Model introduced herein expands on the utility and simplicity of the tripod concept to consider the overall length of the cartilaginous tripod arch as the major determinant of nasal tip parameters. Surgeons may exploit this powerful tool using modern grafting, suture, and cartilage-cutting techniques to predictably achieve desired tip alterations and, by extension, more consistently satisfactory aesthetic outcomes.
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References
1.
AndersonJR. The dynamics of rhinoplasty. In: Bustamant GA, ed. Proceedings of the Ninth International Congress of Otorhinolaryngology, Mexico City, August 10-14, 1969. Amsterdam, the Netherlands: Excerpta Medica; 1970
2.
LipsettEM. A new approach to surgery of the lower cartilaginous vault. Arch Otolaryngol. 1959; 70:42-47
3.
GoldmanIB. The importance of medial crura in nasal tip reconstruction. Arch Otolaryngol. 1957; 65:143
4.
KridelRWH, KoniorRJ, ShumrickKA, WrightWK. Advances in nasal tip surgery: the lateral crural steal. Arch Otolaryngol Head Neck Surg. 1989; 115:1206-1212. 2789776