Pollybeak deformity in rhinoplasty: prevention and treatment

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dc.contributor.authorO?uz, O.
dc.contributor.authorBozdemir, K.
dc.contributor.authorMuluk, N. Bayar
dc.contributor.authorCingi, C.
dc.date.accessioned2025-01-21T16:28:15Z
dc.date.available2025-01-21T16:28:15Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractOBJECTIVE: Patients with pollybeak deformity who underwent rhinoplasty were analyzed retrospectively and across centers to identify their primary risk factors, preventative measures, and treatment modalities. PATIENTS AND METHODS: The retrospective data of 100 pollybeak deformity cases (61 males and 39 females) were enrolled in our study. The causes leading to pollybeak deformity were evaluated and classified as (1) Over-resected bony dorsum, (2) Excessive supra tip scarring, and (3) Inefficient tip support causing an under-projected tip. The treatments applied to patients with pollybeak deformity were retrospectively evaluated and classified as (1) Triamcinolone acetonide injections (one or two injections), (2) Filler injection over the bony dorsum to balance, (3) Using a graft to achieve the desired nose shape, (4) Trimming down the excessive supra tip soft tissue and/or tip cartilage, and (5) Enforcing the tip support. RESULTS: O ur r esults s howed t hat t he m ajor cause of pollybeak deformity was excessive supra- tip scarring (48%). The other reasons are inefficient tip support, causing an under-projected tip (28%), and over-resected bony dorsum (24%). The modalities for the treatment of pollybeak deformity were (1) Trimming down the excessive supra tip soft tissue and/or tip cartilage (30%), (2) Triamcinolone acetonide injections (one or two injections) (28%), or (3) Enforcing the tip support (28%), (4) Using a graft to achieve the desired nose shape (14%) and (5) Filler injection over the bony dorsum to balance (6%). In some patients, more than one treatment modality was applied. Triamcinolone acetonide or filler injections were the non-surgical therapies for pollybeak deformities. CONCLUSIONS: We concluded that excessive supra-tip scarring is not directly related to a surgical error but rather depends on the patient and tissue healing. Care should be taken to avoid over-resecting the bony dorsum. Tip support should be provided to prevent inefficient tip support from causing an under-projected tip. However, efforts should be made to minimize supra- tip dead space and possibly proceeding pollybeak formation through proper bandaging. © 2024 Verduci Editore s.r.l. All rights reserved.
dc.identifier.doi10.26355/eurrev_202404_35898
dc.identifier.endpage2700
dc.identifier.issn1128-3602
dc.identifier.issue7
dc.identifier.pmid38639509
dc.identifier.scopus2-s2.0-85190952466
dc.identifier.scopusqualityQ2
dc.identifier.startpage2696
dc.identifier.urihttps://doi.org/10.26355/eurrev_202404_35898
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23520
dc.identifier.volume28
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherVerduci Editore s.r.l
dc.relation.ispartofEuropean Review for Medical and Pharmacological Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectCause; Pollybeak deformity; Prevention; Rhinoplasty; Treatment
dc.titlePollybeak deformity in rhinoplasty: prevention and treatment
dc.typeArticle

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