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http://dx.doi.org/10.5999/aps.2014.41.1.3

Effective Septal Extension Graft for Asian Rhinoplasty  

Kim, Jae Hoon (April 31 Plastic Surgery Clinic)
Song, Jin Woo (April 31 Plastic Surgery Clinic)
Park, Sung Wan (April 31 Plastic Surgery Clinic)
Oh, Won Suk (April 31 Plastic Surgery Clinic)
Lee, Joo Heon (April 31 Plastic Surgery Clinic)
Publication Information
Archives of Plastic Surgery / v.41, no.1, 2014 , pp. 3-11 More about this Journal
Abstract
Background This study aimed at overcoming the disadvantages of septal extension grafts and keeping the nasal tip as natural as possible by using different forms of the graft and additional supporting methods depending on the case. Methods Among 458 patients who received a septal extension graft from March 2008 to September 2011, 107 patients were selected who underwent at least a 6-month follow-up. Patients were categorized according to the primary objective of the operation; an upturned tip correction or tip lengthening, tip lengthening with tip projection, or retracted columella correction. Each group of patients received a different type of septal extension graft out of 3 different types of grafts based on the purpose of the operation. The evaluation of the results was made from by comparing preoperative and postoperative photographs of the tip angle, projection, and nasolabial angle. Results The average tip angle for the patients in the upturned tip correction group was reduced to 98.3 from 124.9 degrees. For the patients in the tip lengthening with tip projection group, the average tip angle was reduced to 96.8 from 122.4 degrees and the average tip projection was increased to 27.5 from 23.2 mm. The average nasolabial angle for the patients in the retracted columella correction group was increased to 94.6 from 74.8 degrees. Conclusions Sufficient nasal tip lengthening and projection could be achieved by applying a septal extension graft using the graft best suited for the group of patients categorized by surgical objective.
Keywords
Nose; Rhinoplasty; Nasal cartilages;
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1 Kim JH, Oh WS, Park SW, et al. Various surgical procedures in the scale of upturned nose. J Korean Soc Aesthetic Plast Surg 2010;16:21-34.
2 Gunter JP, Rohrich RJ, Friedman RM, et al. Importance of the alar-columellar relationship. In: Gunter JP, Rohrich RJ, Adams WP Jr, editors. Dallas rhinoplasty: nasal surgery by the masters. 2nd ed. St. Louis, MO: Quality Medical Pub.; 2007. p. 401-9.
3 Adamson PA, Morrow TA. The nasal hinge. Otolaryngol Head Neck Surg 1994;111:219-31.   DOI   ScienceOn
4 Rohrich RJ, Hoxworth RE, Thornton JF, et al. The pyriform ligament. Plast Reconstr Surg 2008;121:277-81.   DOI   ScienceOn
5 Kim JH, Park SW, Oh WS, et al. New classification for correction of alar retraction using the alar spreader graft. Aesthetic Plast Surg 2012;36:832-41.   DOI   ScienceOn
6 Kim JH. Correction of upturned nose. In: Koeran Society of Rhinoplasty Surgeons, editor. Current trends in Asian rhinoplasty: operation guide. Seoul: Koonja Publishing, Inc.; 2011. p. 349-69.
7 Mirastschijski U, Jokuszies A, Vogt PM. Skin wound healing: repair biology, wound, and scar treatment. In: Neligan PC, editor. Plastic surgery. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2013. p. 267-96.
8 Oh SH, Kang NH, Woo JS, et al. Stabilization of unilateral septal extension graft using pivot locking suture. J Korean Soc Aesthetic Plast Surg 2008;14:156-60.
9 Bafaqeeh SA. Open rhinoplasty: effectiveness of different tripplasty techniques to increase nasal tip projection. Am J Otolaryngol 2000;21:231-7.   DOI   ScienceOn
10 Kim JS, Han KH, Choi TH, et al. Correction of the nasal tip and columella in Koreans by a complete septal extension graft using an extensive harvesting technique. J Plast Reconstr Aesthet Surg 2007;60:163-70.   DOI   ScienceOn
11 Tebbetts JB. Shaping and positioning the nasal tip without structural disruption: a new, systematic approach. Plast Reconstr Surg 1994;94:61-77.   DOI   ScienceOn
12 Seyhan A, Ozden S, Ozaslan U, et al. A simplified use of septal extension graft to control nasal tip location. Aesthetic Plast Surg 2007;31:506-11.   DOI
13 Sen C, Iscen D. Caudal septal advancement for nasal tip projection and support in rhinoplasty. Aesthetic Plast Surg 2006;30:135-40.   DOI
14 Toriumi DM, Patel AB, DeRosa J. Correcting the short nose in revision rhinoplasty. Facial Plast Surg Clin North Am 2006;14:343-55.   DOI   ScienceOn
15 Kim SK, Kim HS. Secondary Asian rhinoplasty: lengthening the short nose. Aesthet Surg J 2013;33:353-62.   DOI   ScienceOn
16 Han SK. Surgical anatomy of Korean nose. J Korean Soc Aesthetic Plast Surg 2005;11:1-9.
17 Jeong JY. Tripod framework rebuilding in Asian nose: tip plasty using alar advancement technique. J Korean Soc Aesthetic Plast Surg 2010;16:125-38.
18 Tebbets JB. Primary rhinoplasty: a new approach to the logic and the techniques. St. Louis, MO: Mosby; 1998.
19 Paik MH, Chu LS. Correction of the short nose using derotation graft. Arch Aesthetic Plast Surg 2012;18:35-44.
20 Byrd HS, Andochick S, Copit S, et al. Septal extension grafts: a method of controlling tip projection shape. Plast Reconstr Surg 1997;100:999-1010.   DOI   ScienceOn
21 Stovin JS. The importance of the membranous nasal septum. AMA Arch Otolaryngol 1958;67:540-1.   DOI