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Abstract

There is confusion in the current literature regarding the exact nature of the attachments of the medial crura of the lobular cartilage. There have been suggestions that these may be ligamentous, in case of the attachment between the paired medial crura, or membranous, in case of the attachment between the medial crus and the septum. In an attempt to clarify the situation and to define an unambiguous nomenclature an anatomical study has been undertaken involving the macroscopic dissection and histological examination of the noses of 11 caucasian cadavers. The results have not yielded any evidence to corroborate the presence of either a ligamentous or membranous attachment. Instead they show that these areas consist of irregularly arranged connective tissue which fails to meet the histological criteria of a ligament or membrane.

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References

Zhai

L.J.

, Bruintjes

TjD

, Boschma

, Huizing

E.H.

The interdomal ligament does not exist.

Rhinology 33: 135–137, 1995.

Anderson

J.R.

, Ries

W.R.

Surgery of the nasal base: Setting tip projection and location. Ch. 11. In: Rhinoplasty: Emphasizing the external approach. Anderson

J.R.

, and Ries

W.R.

(eds.), Thieme, New York, 1986, pp 63–78.

Vuyk

H.D.

, Zijlker

T.D.

Open-tip rhinoplasty. Ch. 12. In: Rhinoplasty. A practical guide to functional and aesthetic surgery of the nose. Nolst Trenité

G.J.

(ed.), Kugler Publications, Amsterdam/New York, 1993, pp 93–100.

Janeke

J.B.

, Wright

W.K.

Studies on the support of the nasal tip.

Arch Otolaryngol 93: 458–464, 1971.

McCollough

E.G.

, Mangat

Systematic approach to correction of the nasal tip in rhinoplasty.

Arch Otolaryngol 107: 12–16, 1981.

Tardy

M.E.

Surgical Anatomy of the Nose. Raven Press, New York, 1990.

Tardy

M.E.

, Klingensmith

Aesthetic surgery of the nose. Ch. 6. In: Otolaryngology. Plastic and Reconstructive Surgery and Interrelated Disciplines. Paparella

M.M.

, Shumrick

D.A.

, Gluckman

J.L.

, Meyerhoff

W.L.

(eds.), 3rd ed., WB Saunders, Philadelphia, 1991, pp 2681–2715.

Poublon

R.M.L.

Anatomy. Ch. 1. In: Rhinoplasty. A practical guide to functional and aesthetic surgery of the nose. Nolst Trenité

G.J.

(ed.), Kugler Publications, Amsterdam/New York, 1993, pp 3–10.

Lang

Clinical Anatomy of the Nose, Nasal Cavity and Paranasal Sinuses. Thierne, New York, 1989.

10.

Daniel

R.K.

The nasal tip: Anatomy and aesthetics.

Plast Reconstr Surg 89: 216–224, 1992.

11.

Rees

T.D.

Anatomy. Ch. 5. In: Aesthetic Plastic Surgery. Rees

T.D.

(ed.), WB Saunders, Philadelphia, 1980, pp 53–65.

12.

Converse

J.M.

, Wood-Smith

, Wang

K.M.H.

Deformities of the nose. In: Reconstructive Plastic Surgery, Vol II (The Head and Neck). Converse

J.M.

(ed.), WB Saunders, Philadelphia, 1964, pp 694–828.

Anatomical Observations on the Attachments of the Medial Crura

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