INCISION intracartilaginous - TRANSACARTILAGINOSA
alar cartilage
NASAL TIP
This incision is made inside the nasal ala, nasal mucosa begins at 3 mm above the caudal edge of the side continuing to cross medially to the knee wing dome of the alar-domus-genu where it ends. With hooks or forceps Adson split both lips of the incision and separating the nasal mucosa received treatment on the underside of the cross wing side up genu (knee wing )
INCISION intracartilaginous ALAR - TRANSCARTILAGINOSA
Before incision alar cartilage cephalic border is divulsion the upper surface of the wing away from the skin to its full extent and reach the space to release interdomal domes fibroareolar tissue that binds and thus be able to approximate the domes wing and refine the tip to dry the cephalic border wing.
incision with scalpel blade No 15 Wing cephalic border begins in the lateral third and continues until its proximal third in the area of \u200b\u200bthe alar dome cartilage inclusive.Una after subsection taken with forceps and the incision is complete excision with scissors.
was taken, if indicated, resection of the subcutaneous tissue of the entire area and with more emphasis on the tip area to refine and make the edge more conspicuous, not bulbous, as requested by patients, but is a maneuver that should be done with extreme caution as is very prone to skin necrosis of blood flow deprivation.
always leaves a layer alar cartilage in situ of 3-4 mm and is used and under the nasal ala and prevents its collapse or pinching. Nor is handled in the lateral alar cartilages where the accessories and sesamoid.
excised cartilage is kept in saline solution and serve as a graft, when indicated, in the nasal tip, medial cross, back, in the grips where needed to maintain permeable cartilage or an internal nasal valve blockage .
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