gms | German Medical Science


Figure 8: Common rhinoplasty approaches (a): intercartilaginous (yellow), transcartilaginous (orange), infracartilaginous (red), external (purple). The intercartilaginous incision is located next to the caudal edge of the triangular cartilage (b). In the transcartilaginous approach, the dissection is facilitated by incising the vestibular skin on the endonasal surface of the alar cartilage first and dissecting the vestibular skin before the cartilage is transected (c). The infracartilaginous approach follows the caudal border of the intermediate and lateral crus (d). For the external approach, the incision follows the caudal border of the medial crus approximately 2 mm cranial to the caudal border of the columella (e).