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Boxy tip deformity. Babak Saedi Assistant professor of Tehran university Imam Khomainey hospital . Definition . The boxy tip is defined as a broad , rectangular tip as seen on basal view. Rhodrich & Adams :Three types. Traditional approach. Goldman

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boxy tip deformity

Boxy tip deformity

Babak Saedi

Assistant professor of Tehran university

Imam Khomainey hospital

definition
Definition
  • The boxy tip is defined as a broad , rectangular tip as seen on basal view
traditional approach
Traditional approach
  • Goldman

Dome resection to reshaping of nasal tip

  • Sheen

Cartilage scoring

Weakness

Notched alar rim, pinched tip ,asymmetry , decrease tip projection

slide7

Constantian, Mark B in 200 boxy tip emphasis in lateral crura weakness and malposition

  • Tebbetts, non destructive technique in all form of boxy tip deformity
preferred technique
Preferred technique
  • Cephalic trim

Resection of lateral crura adding to medial portion of medial crura

Cartilage suturing

final goal
Final goal

The operative goal :

  • reposition the tip definition points
  • Angulate the domes
  • Shape lateral crura