Cartilage | cartilage
SurgeryoftheCartilaginousVaultThedorsalsurfaceofthequadrangularcartilageanditsrelatedULCscomprisethecartilaginousvault.Ordinarily,anewrelationshipshouldbeestablishedbetweenthetipandtheprofileline.Reductionofthesupratipareatoalevelthatallowstheleadingedgeofthetiptosit1to2 mmabovethecartilaginousprofileistheusualaestheticgoal.Makingthisnewrelationshippermanentrequiresthattipprojection,whetherpreexistentortheconsequenceoftipsurgery,bestableandlasting.Tipsurgery,then,isusuallyperformedattheoutse...
Surgery of the Cartilaginous VaultThe dorsal surface of the quadrangular cartilage and its related ULCs comprise the cartilaginous vault. Ordinarily, a new relationship should be established between the tip and the profile line. Reduction of the supratip area to a level that allows the leading edge of the tip to sit 1 to 2 mm above the cartilaginous profile is the usual aesthetic goal. Making this new relationship permanent requires that tip projection, whether preexistent or the consequence of tip surgery, be stable and lasting. Tip surgery, then, is usually performed at the outset of the operation unless a significant overgrowth of the dorsal septum has created an anatomic variant, in which case this normally minor tip-support mechanism is giving greater support thrust to the tip projection—the “tension nose.” In this circumstance, reduction alignment of the supratip area to eliminate this spurious support precedes tip surgery, thereby allowing ...