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Modified Direct-Type Septal Extension Grafts Their Stability and Usefulness in Asian Rhinoplasty

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Author(s)
Han, So-EunHan, KihwanChoi, JaehoonYun, Tae Bin
Keimyung Author(s)
Han, Ki HwanChoi, Jae Hoon
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Annals of Plastic Surgery
Issued Date
2017
Volume
78
Issue
3
Keyword
septal extension graftseptal cartilagephotogrammetryAsian rhinoplasty
Abstract
Background: In Asian rhinoplasty, many autogenous cartilage grafts are required for correction of the nasal tip and columella, but the amount has limitations. A modified direct-type septal extension graft, in continuity with the entire caudal border of the septal cartilage with an edge-to-edge coaptation, can effectively and concomitantly correct the nasal tip and columella deformities using a limited amount of septal cartilage graft. The purpose of this study was to evaluate long-term cosmetic outcomes and stability from the modified direct extension grafts.

Methods: Fifty-seven patients with a follow-up of more than 1 year were enrolled in the study. A total of 11 measurement items were evaluated from basal and right lateral views by photogrammetry using standardized clinical photographic techniques.

Results The overall mean follow-up period was 20.4 months. When comparing the preoperative and postoperative values, the nasal tip projection, nasal bridge length, nasal tip angle, height of nose, and the columellar labial angle increased significantly; additionally, the soft nose width index, width between ac-ac index, nostril axis inclination, columellar length (Rt-Lt), and the alar length (Rt-Lt) decreased significantly. No resorption, buckling, or displacement of the graft was observed during the follow-up period.

Conclusions: The modified direct extension graft demonstrated a marked aesthetic improvement in the nasal tip and columella, and it provided long-term stability. Therefore, the modified direct extension graft is useful for correction of the nasal tip and columella in Asian rhinoplasty.
Keimyung Author(s)(Kor)
한기환
최재훈
Publisher
School of Medicine
Citation
Han, So-Eun et al. (2017). Modified Direct-Type Septal Extension Grafts Their Stability and Usefulness in Asian Rhinoplasty. Annals of Plastic Surgery, 78(3), 243–248. doi: 10.1097/SAP.0000000000000880
Type
Article
ISSN
0148-7043
Source
https://insights.ovid.com/crossref?an=00000637-201703000-00003
DOI
10.1097/SAP.0000000000000880
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32719
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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