A Novel “Gun-Barrel” Rhinoplasty Ruler for Precise Graft Measurement

Richard Fox; Sim Choroomi

doi:10.5152/ejra.2021.21048

A Novel “Gun-Barrel” Rhinoplasty Ruler for Precise Graft Measurement

Abstract

Open structured rhinoplasty is the most complex and challenging procedure undertaken by the facile plastic surgeon. The aim is to achieve harmony between the esthetic desires of the patient and the functional performance of the nose, considering the patients’ anatomical and physiological limitations. Success relies upon the expertise of the surgeon to first recognize how the individual patients’ needs can be met, and then execute this plan with precision. It is therefore paramount that all graft dimensions, but particularly the septal extension graft (SEG), be accurately measured during the planning stage of intraoperative reconstruction, and before cartilage grafts are fashioned. We have developed a novel modification of the sterile ruler that enables precise measurements of spreader graft and SEG dimensions. There are two main advantages of this modification. First, the slender body of “gun-barrel” can easily be placed in the narrow plane between septal and upper lateral cartilages where the unmodified ruler would buckle and bend upon contact with adjacent structures. The second advantage is provided by the tip modification, which ensures accurate measurements can be obtained once the 3 mm ruler tip redundancy has been removed. We share our technique so that colleagues in the field can obtain these measurements with ease.

Keywords

References

Unadkat SN, Saleh HA. Restoring balance and symmetry to the aging nose. Facial Plast Surg. 2021;37(2):205-210.
Sözen T, Dizdar D, Göksel A. Awareness of facial asymmetry and its impact on postoperative satisfaction of rhinoplasty patient. Aesth Plast Surg. 2021;45(1):214-220.
Patel PN, Abdelwahab M, Shukla ND, et al. Functional outcomes of septal extension grafting in aesthetic rhinoplasty: A cohort analysis. Facial Plast Surg Aesthet Med. 2021;23(3):172-179.
Spataro EA, Most SP. Tongue-in-Groove technique for rhinoplasty: Technical refinements and considerations. Facial Plast Surg. 2018;34(5):529-538.

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Richard Fox This is me
0000-0002-9352-3681
Australia

Sim Choroomi This is me
0000-0001-5124-154X
Australia

Publication Date

December 25, 2021

Submission Date

November 2, 2021

Acceptance Date

November 30, 2021

Published in Issue

Year 2021 Volume: 4 Number: 3

DOI

https://doi.org/10.5152/ejra.2021.21048

IZ

https://izlik.org/JA66FW84JU

Cite

RIS / Bibtex

APA

Fox, R., & Choroomi, S. (2021). A Novel “Gun-Barrel” Rhinoplasty Ruler for Precise Graft Measurement. European Journal of Rhinology and Allergy, 4(3), 91-93. https://doi.org/10.5152/ejra.2021.21048

AMA

1.Fox R, Choroomi S. A Novel “Gun-Barrel” Rhinoplasty Ruler for Precise Graft Measurement. Eur J Rhinol Allergy. 2021;4(3):91-93. doi:10.5152/ejra.2021.21048

Chicago

Fox, Richard, and Sim Choroomi. 2021. “A Novel ‘Gun-Barrel’ Rhinoplasty Ruler for Precise Graft Measurement”. European Journal of Rhinology and Allergy 4 (3): 91-93. https://doi.org/10.5152/ejra.2021.21048.

EndNote

Fox R, Choroomi S (December 1, 2021) A Novel “Gun-Barrel” Rhinoplasty Ruler for Precise Graft Measurement. European Journal of Rhinology and Allergy 4 3 91–93.

IEEE

[1]R. Fox and S. Choroomi, “A Novel ‘Gun-Barrel’ Rhinoplasty Ruler for Precise Graft Measurement”, Eur J Rhinol Allergy, vol. 4, no. 3, pp. 91–93, Dec. 2021, doi: 10.5152/ejra.2021.21048.

ISNAD

Fox, Richard - Choroomi, Sim. “A Novel ‘Gun-Barrel’ Rhinoplasty Ruler for Precise Graft Measurement”. European Journal of Rhinology and Allergy 4/3 (December 1, 2021): 91-93. https://doi.org/10.5152/ejra.2021.21048.

JAMA

1.Fox R, Choroomi S. A Novel “Gun-Barrel” Rhinoplasty Ruler for Precise Graft Measurement. Eur J Rhinol Allergy. 2021;4:91–93.

MLA

Fox, Richard, and Sim Choroomi. “A Novel ‘Gun-Barrel’ Rhinoplasty Ruler for Precise Graft Measurement”. European Journal of Rhinology and Allergy, vol. 4, no. 3, Dec. 2021, pp. 91-93, doi:10.5152/ejra.2021.21048.

Vancouver

1.Richard Fox, Sim Choroomi. A Novel “Gun-Barrel” Rhinoplasty Ruler for Precise Graft Measurement. Eur J Rhinol Allergy. 2021 Dec. 1;4(3):91-3. doi:10.5152/ejra.2021.21048