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Correction of the nasal tip and columella in Koreans by a complete septal extension graft using an extensive harvesting technique

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Author(s)
Tae Hyun ChoiNam Gyun KimKyung Suk LeeDae Gu SonJun Hyung KimJun Sik KimKi Hwan Han
Keimyung Author(s)
Han, Ki HwanSon, Dae GuKim, Jun Hyung
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Journal of Plastic, Reconstructive & Aesthetic Surgery
Issued Date
2007
Volume
60
Issue
2
Keyword
Complete septal extension graftSeptal cartilage harvestL-shaped strut
Abstract
The nose of most Koreans is characterised by a low nasal dorsum, retracted columella, and an acute columella-labial angle. For the surgical correction of the tip and columella, a complete septal extension graft, along with augmentation rhinoplasty has been developed. However, the use of this type of graft is frequently problematic because the septal cartilage is not large enough. In a study involving 10 cadavers, a complete septal extension graft was achieved in two of them by using septal cartilage harvested according to standard techniques. Therefore, the septal cartilage was harvested, leaving a 5-mm L-shaped strut, and a complete septal extension graft was implanted. The present report describes the results obtained in 34 patients and offers an analysis of the results as judged by the columella-labial angle and three proportional indices (nose height index, nasal bridge length index, and nasal tip projection index), measured by photogrammetry. The postoperative values obtained in these four categories increased significantly compared to the preoperative ones, thus confirming that the projection of tip was augmented, the nose was lengthened, and the columella was advanced caudally. Moreover, these positive outcomes were maintained during long-term follow-up, and no side effects, such as saddle nose deformity, were reported.
Keimyung Author(s)(Kor)
한기환
손대구
김준형
Publisher
School of Medicine
Citation
Tae Hyun Choi et al. (2007). Correction of the nasal tip and columella in
Koreans by a complete septal extension graft
using an extensive harvesting technique. Journal of Plastic, Reconstructive & Aesthetic Surgery, 60(2), 163–170. doi: 10.1016/j.bjps.2006.03.055
Type
Article
ISSN
1748-6815
Source
http://lps3.www.sciencedirect.com.proxy.dsmc.or.kr/science/article/pii/S1748681506003081?via%3Dihub
DOI
10.1016/j.bjps.2006.03.055
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34247
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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