Open Access
CC BY-NC 4.0 · Arch Plast Surg 2014; 41(01): 3-11
DOI: 10.5999/aps.2014.41.1.3
Topic: Septal Extension Graft

Effective Septal Extension Graft for Asian Rhinoplasty

Jae Hoon Kim
April 31 Plastic Surgery Clinic, Seoul, Korea
,
Jin Woo Song
April 31 Plastic Surgery Clinic, Seoul, Korea
,
Sung Wan Park
April 31 Plastic Surgery Clinic, Seoul, Korea
,
Won Suk Oh
April 31 Plastic Surgery Clinic, Seoul, Korea
,
Joo Heon Lee
April 31 Plastic Surgery Clinic, Seoul, Korea
› Institutsangaben
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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.



Publikationsverlauf

Eingereicht: 10. Mai 2013

Angenommen: 29. Juni 2013

Artikel online veröffentlicht:
02. Mai 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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