{"title":"滑轮针：优化鼻整形中外侧小腿的创新技术。","authors":"Tito Marianetti, Antonio Iademarco, Luca Perna","doi":"10.1055/a-2695-3697","DOIUrl":null,"url":null,"abstract":"<p><p>Managing nasal tip support and lateral crura malposition remains a challenge in rhinoplasty.This study aimed to evaluate the effectiveness of a novel suture technique-the Pulley-Stitch-in correcting lateral crura malposition. Primary outcome: Change in lateral crura angle; secondary outcome: Long-term stability.Prospective cohort study (<i>N</i> = 42), reported in-line with STROBE guidelines.Forty-two patients underwent open rhinoplasty. The angle between the caudal margin of the medial crus and the anterior third of the lateral crus was measured from intraoperative images at T0 (prestitch) and T1 (poststitch). Standardized postoperative images were analyzed at 1 month (T2) and 12 months (T3).The angle increased from a mean of 18.2 to 26.9 degrees (<i>p</i> < 0.05), reflecting improved anatomical alignment and external nasal valve patency. Stability was confirmed at 12-month follow-up.The Pulley-Stitch is a safe, effective technique to improve nasal tip structure, cephalic rotation, and ala contour.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pulley-Stitch: An Innovative Technique for Optimizing the Lateral Crus in Rhinoplasty.\",\"authors\":\"Tito Marianetti, Antonio Iademarco, Luca Perna\",\"doi\":\"10.1055/a-2695-3697\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Managing nasal tip support and lateral crura malposition remains a challenge in rhinoplasty.This study aimed to evaluate the effectiveness of a novel suture technique-the Pulley-Stitch-in correcting lateral crura malposition. Primary outcome: Change in lateral crura angle; secondary outcome: Long-term stability.Prospective cohort study (<i>N</i> = 42), reported in-line with STROBE guidelines.Forty-two patients underwent open rhinoplasty. The angle between the caudal margin of the medial crus and the anterior third of the lateral crus was measured from intraoperative images at T0 (prestitch) and T1 (poststitch). Standardized postoperative images were analyzed at 1 month (T2) and 12 months (T3).The angle increased from a mean of 18.2 to 26.9 degrees (<i>p</i> < 0.05), reflecting improved anatomical alignment and external nasal valve patency. Stability was confirmed at 12-month follow-up.The Pulley-Stitch is a safe, effective technique to improve nasal tip structure, cephalic rotation, and ala contour.</p>\",\"PeriodicalId\":12195,\"journal\":{\"name\":\"Facial Plastic Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Facial Plastic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2695-3697\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Facial Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2695-3697","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Pulley-Stitch: An Innovative Technique for Optimizing the Lateral Crus in Rhinoplasty.
Managing nasal tip support and lateral crura malposition remains a challenge in rhinoplasty.This study aimed to evaluate the effectiveness of a novel suture technique-the Pulley-Stitch-in correcting lateral crura malposition. Primary outcome: Change in lateral crura angle; secondary outcome: Long-term stability.Prospective cohort study (N = 42), reported in-line with STROBE guidelines.Forty-two patients underwent open rhinoplasty. The angle between the caudal margin of the medial crus and the anterior third of the lateral crus was measured from intraoperative images at T0 (prestitch) and T1 (poststitch). Standardized postoperative images were analyzed at 1 month (T2) and 12 months (T3).The angle increased from a mean of 18.2 to 26.9 degrees (p < 0.05), reflecting improved anatomical alignment and external nasal valve patency. Stability was confirmed at 12-month follow-up.The Pulley-Stitch is a safe, effective technique to improve nasal tip structure, cephalic rotation, and ala contour.
期刊介绍：
Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures.
Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.
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