title: Lateral intercrural suture in the caucasian nose: Decreased domal divergence angle in endonasal rhinoplasty without delivery.
abstract: BACKGROUND
  Several techniques can be performed to improve nasal tip definition such as cartilage resection, tip grafts, or sutures. Objctive: To evaluate the outcome of lateral intercrural suture at the lower lateral cartilage by endonasal rhinoplasty with a basic technique without delivery in decreasing the angle of domal divergence and improving the nasal tip definition.
  
  
  METHODS
  This prospective study was performed in 64 patients in which a suture was made on the board head of the lower lateral cartilage in the joint between the dome and lateral crus, using polydioxanone (PDS) with sharp, curved needle.
  
  
  RESULTS
  In all of the cases, better definition of the nasal tip was achieved by intercrural suturing for at least 6 months postoperatively.
  
  
  CONCLUSIONS
  Lateral intercrural suture of the lower lateral cartilage provides improved nasal tip definition and can be performed by endonasal rhinoplasty without delivery in the Caucasian nose.
authors.affiliation: Master in Surgical. Voluntary Professor, Department of Otorhinolaryngology, Federal University of Parana. Otolaryngologist Hospital IPO.
authors.forename: Cezar Augusto Sarraf
authors.initials: CA
authors.lastname: Berger
authors.affiliation: Entitled Professor of Otolaryngology at Federal University of Parana State (UFPR). Doctor of IPO Hospital. Parana Institute of Otolaryngology Hospital. Entitled Professor of Otolaryngology Department of Federal University of Parana /UFPR. Otolaryngologist Doctor of IPO Hospital.
authors.forename: Marcos
authors.initials: M
authors.lastname: Mocelin
authors.affiliation: Master in Surgical.Otolaryngologist, Department of Otorhinolaryngology, Federal University of Parana (UFPR) and the Hospital IPO.
authors.forename: Caio Márcio Correia
authors.initials: CM
authors.lastname: Soares
authors.affiliation: Master. Adjunct Professor of Otolaryngology Department of Federal University of Parana /UFPR. Otolaryngologist Doctor of IPO Hospital /Parana Institute of Otolaryngology Hospital.
authors.forename: Rogério
authors.initials: R
authors.lastname: Pasinato
authors.affiliation: Expert in Otolaryngology. Otolaryngologist Doctor. Ex-Fellow of Surgery for Facial Plastics of IPO Hospital / Parana Institute of Otolaryngology Hospital.
authors.forename: Andreia Ellery
authors.initials: AE
authors.lastname: Frota
keywords: nasal cartilage; rhinoplasty; sutures