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Cited by 22Nasal Surgery and Airway StudiesReconstructive Facial Surgery TechniquesCleft Lip and Palate Research

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Reshaping of the Anterior Nasal Spine: An Important Step in Rhinoplasty

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Marianetti, Tito M., Boccieri, Armando, Pascali, Michele·2016·Plastic and Reconstructive Surgery - Global Open
DOI 10.1097/gox.0000000000001026PMC PMC5055009
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Abstract

Background: The importance of analysis of the nasal spine should not be underestimated in the correct planning of rhinoplasty. Deformations in position with respect to the midline and/or in size are often present, and their correction to ensure harmony between the spine and the other components of the nasal pyramid constitutes a key step in rhinoplasty that can lead to excellent results. Methods: The study includes 160 patients who underwent surgical treatment of the anterior nasal spine with or without other techniques of nasal reshaping. Eighty-seven of these patients presented with hyperplasia of the nasal spine, 43 with hypoplasia, and 30 with deviation. A combination of deviation and hyperplasia was present in 15 cases. Results: No patients developed postoperative complications. Five patients who underwent anterior nasal spine reduction reported postoperative numbness in the premaxillary area, but sensitivity was fully regained within 4 months after surgery in these patients. All the patients reported postoperative improvement of nasal airflow. A total of 142 patients considered their postoperative aesthetic result as excellent and 18 as good. Conclusion: The simplicity of the surgical procedures performed on the nasal spine and the marked aesthetic improvements thus achieved suggest that greater attention should be paid to this anatomical region.

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Crossref · 10.1097/gox.0000000000001026

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Figures

Fig. 1. CT in basal projection showing hyperplasia of the ANS.
Fig. 1. CT in basal projection showing hyperplasia of the ANS.CC BY-NC-ND · PubMed Central
Fig. 2. A, Complete exposure of the ANS. B, Use of bone-cutting forceps to reduce the ANS.
Fig. 2. A, Complete exposure of the ANS. B, Use of bone-cutting forceps to reduce the ANS.CC BY-NC-ND · PubMed Central
Fig. 3. Case 1: Deviation of the nasal spine. Preoperative (A, C) and postoperative (B, D) photographs on frontal and profile views. Correction of the defects involved osteocartilaginous hump excision, osteotomies, genioplasty, fracturing, and median repositioning of the nasal spine combined with suturing to the periosteum of the upper maxillary bone.
Fig. 3. Case 1: Deviation of the nasal spine. Preoperative (A, C) and postoperative (B, D) photographs on frontal and profile views. Correction of the defects involved osteocartilaginous hump excision, osteotomies, genioplasty, fracturing, and median repositioning of the nasal spine combined with suturing to the periosteum of the upper maxillary bone.CC BY-NC-ND · PubMed Central
Fig. 4. Case 1: A, The basal view shows marked deviation of the nasal spine to the left of the midline. The deviated columella was due to a deviated nasal spine because the cartilaginous caudal septum was in the same axis of the spine and not sideways. B, After surgery, the only repositioning of the nasal spine was able to straighten the nasal base.
Fig. 4. Case 1: A, The basal view shows marked deviation of the nasal spine to the left of the midline. The deviated columella was due to a deviated nasal spine because the cartilaginous caudal septum was in the same axis of the spine and not sideways. B, After surgery, the only repositioning of the nasal spine was able to straighten the nasal base.CC BY-NC-ND · PubMed Central
Fig. 5. Case 2: Hypertrophy of the nasal spine. Preoperative (A, C) and postoperative (B, D) photographs on frontal and profile views. Correction of the defects present involved osteocartilaginous hump excision, osteotomies, cephalic trimming of the lateral crura, columellar strut, reshaping, and reduction of the ANS.
Fig. 5. Case 2: Hypertrophy of the nasal spine. Preoperative (A, C) and postoperative (B, D) photographs on frontal and profile views. Correction of the defects present involved osteocartilaginous hump excision, osteotomies, cephalic trimming of the lateral crura, columellar strut, reshaping, and reduction of the ANS.CC BY-NC-ND · PubMed Central
Fig. 6. Case 2: A, The preoperative basal view shows hyperplasia of the nasal spine combined with collapse of the external nasal valve during inspiration. B, Correction of the defect in the postoperative basal view.
Fig. 6. Case 2: A, The preoperative basal view shows hyperplasia of the nasal spine combined with collapse of the external nasal valve during inspiration. B, Correction of the defect in the postoperative basal view.CC BY-NC-ND · PubMed Central
Fig. 7. Case 3: Binder syndrome with aplasia of the ANS. Preoperative (A, C) and postoperative (B, D) photographs on frontal and profile views. The view in profile clearly shows the marked underprojection of the nasal tip with an extremely acute nasolabial angle. Correction of the defects present involved a graft from the seventh and eighth ribs shaped to reconstruct an L-shaped dorsocaudal structure of support. An osseous costal graft was attached to the caudal pillar of the L-shaped structure and secured with titanium screws and plates to the premaxilla.
Fig. 7. Case 3: Binder syndrome with aplasia of the ANS. Preoperative (A, C) and postoperative (B, D) photographs on frontal and profile views. The view in profile clearly shows the marked underprojection of the nasal tip with an extremely acute nasolabial angle. Correction of the defects present involved a graft from the seventh and eighth ribs shaped to reconstruct an L-shaped dorsocaudal structure of support. An osseous costal graft was attached to the caudal pillar of the L-shaped structure and secured with titanium screws and plates to the premaxilla.CC BY-NC-ND · PubMed Central
Fig. 8. Case 3: Preoperative (A) and postoperative (B) basal view and intraoperative (C) image of the costal grafts.
Fig. 8. Case 3: Preoperative (A) and postoperative (B) basal view and intraoperative (C) image of the costal grafts.CC BY-NC-ND · PubMed Central

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Metadata

Authors
Marianetti, T. M., Boccieri, A., & Pascali, M.
Affiliations
University of Rome Tor Vergata (IT)
Corresponding author
Marianetti, Tito M.
Venue
Plastic and Reconstructive Surgery - Global Open
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2016-09
Volume
4
Issue
9
Pages
e1026
ISSN
2169-7574 (ISSN-L)
DOI
10.1097/gox.0000000000001026
PMC
PMC5055009
OpenAlex
W2521752508
Cited by
22
References
20
Citations by year
2026: 2 · 2025: 3 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 5 · 2019: 3 · 2018: 1 · 2017: 2
FWCI
2.22
Type
journal article
Language
en
Open access
Licence
Locations
  • Plastic & Reconstructive Surgery Global Open (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Dentistry › Oral Surgery › Cleft Lip and Palate Research
Keywords
anterior nasal spine, rhinoplasty, nasal pyramid, nasal airflow, cosmetic outcome, nasal deformity

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