The M-Arch model: a new concept of nasal tip dynamics

Adamson PA, Litner JA, Dahiya R.

In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on tip support.

PubMed 16415443 Publisher (DOI)

From the abstract

“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…”

Excerpt; the full abstract is on PubMed.

Citation

PubMed

16415443

DOI

10.1001/archfaci.8.1.16

Journal

Archives of Facial Plastic Surgery

Year

2006

Authors

3

Type

Journal Article

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What the rhinoplasty literature says on this paper's topic, cited line by line to PubMed.

289

Nasal tip

Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.

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