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

2007 ◽  
Vol 60 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Jun Sik Kim ◽  
Ki Hwan Han ◽  
Tae Hyun Choi ◽  
Nam Gyun Kim ◽  
Kyung Suk Lee ◽  
...  
Keyword(s):  
Nasal Tip ◽  
Septal Extension Graft ◽  
Harvesting Technique ◽  
Extension Graft

A Simplified Use of Septal Extension Graft to Control Nasal Tip Location

2007 ◽  
Vol 31 (5) ◽  
pp. 506-511 ◽  
Author(s):  
Ahmet Seyhan ◽  
Sema Ozden ◽  
Ummahan Ozaslan ◽  
Emin Sir
Keyword(s):  
Nasal Tip ◽  
Septal Extension Graft ◽  
Extension Graft

Nasal Tip Surgery in Asians

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P31-P31
Author(s):  
Tae-Bin Won ◽  
Hong-Ryul Jin ◽  
Hyeon-Jong Lee
Keyword(s):  
Surgical Techniques ◽  
Tertiary Hospital ◽  
Initial Diagnosis ◽  
Saddle Nose ◽  
Nasal Tip ◽  
Tip Projection ◽  
Septal Extension Graft ◽  
Low Profile ◽  
Extension Graft ◽  
Onlay Grafts

Objective The authors intended to review our surgical techniques used in Asian tip surgery and to suggest effective techniques, according to the types of the nasal tip that are addressed. Methods 107 patients who had nasal tip surgery from Jan. 2005 to Dec. 2006 in a tertiary hospital were enrolled in the study. Medical records, graphic operation records, and standardized patient photographs were retrospectively reviewed. Initial diagnosis, types of nasal tip surgery, associated operative techniques, surgical results and complications were analyzed. Results Initial diagnosis included deviated nose, hump nose, combine deviated and saddle nose, low profile nose, short nose, and cleft nose deformity, in order of frequency. Nasal tip surgery included augmentation of projection, control of rotation, restoration of symmetry and volume reduction, among which augmentation was used in all cases. External approach was used in 74% and intranasal approach in 26%. For augmentation of the tip projection, onlay grafts (39%), septal extension grafts (25%), and tip modifying suture with onlay grafts (20%) were the most commonly used methods. Infection or extrusion of the grafts was not found. Complications included tip deviation due to the deviation of the septal extension graft in 1 case, visible tip graft in 1 case, and slight upward rotation of the tip in 1 case. Conclusions In Asians, augmentation of the tip projection is the main issue in tip surgery and is best performed with cartilage onlay grafts or septal extension graft rather than suture modification.

Centering a Deviated Nose by Caudal Septal Extension Graft and Unilaterally Extended Spreader Grafts

2019 ◽  
Vol 129 (5) ◽  
pp. 448-455 ◽  
Author(s):  
Yung Yuan Chen ◽  
Shin Ae Kim ◽  
Yong Ju Jang
Keyword(s):  
Postoperative Complications ◽  
Anthropometric Measurements ◽  
Study Patient ◽  
Open Rhinoplasty ◽  
Nasal Tip ◽  
Tip Projection ◽  
Deviated Nose ◽  
Septal Extension Graft ◽  
Nasal Tip Projection ◽  
Extension Graft

Objective: The deviated nose presents a tremendous challenge for rhinoplasty surgeons, especially the correction of the cartilaginous dorsum deviation. In this study, we introduce the surgical techniques of correcting a deviated cartilaginous vault by creating a new center of the lower third using a caudal septal extension graft combined with unilaterally extended spreader grafts. Methods: This retrospective observational study was conducted in a university-based tertiary medical center from December 2014 to January 2018. Thirty-two patients who underwent primary open rhinoplasty for correction of a deviated nose using this method participated in the study. Patient characteristics and surgical records were collected. Anthropometric measurements and analyses were performed based on preoperative and postoperative photographs. The aesthetic outcome consensus of three rhinoplasty surgeons was evaluated specifically for nasal dorsum deviation correction. Postoperative complications were reviewed from the medical records. Results: Among the 32 patients, there were 18 males and 14 females. The mean (SD) age of the patients was 26.7 (8.76) years. Anthropometric measurements showed significant improvements in dorsal deviation angle (a 3.7° change towards midline, P < .001), nasal tip projection (increase of 6.96% measured by Goode’s method, P < .001), and nostril shape (nostril axis inclination decrease of 11.7°, P < .001) after surgery. The nasolabial angle showed no significant change. Aesthetic outcomes were excellent in seven patients (21.9%), good in fourteen patients (43.7%), fair in eight patients (25.0%), and no change in three patients (9.4%). Minor postoperative complications (four patients) were observed during follow-up. Conclusion: Centering the cartilaginous vault using a caudal septal extension graft combined with unilaterally extended spreader grafts is a useful technical option in the correction of a deviated nose, and provides improvement in nasal tip projection and nostril shape.

A Modified Septal Extension Graft for the Asian Nasal Tip

2013 ◽  
Vol 15 (5) ◽  
pp. 362-368 ◽  
Author(s):  
Jinde Lin ◽  
Xiaoping Chen ◽  
Xin Wang ◽  
Xia Gao ◽  
Xiangyu Zheng ◽  
...  
Keyword(s):  
Nasal Tip ◽  
Septal Extension Graft ◽  
Extension Graft

Polycaprolactone Mesh for Asian Rhinoplasty: Outcomes and Complications of Composite Septal Extension Graft Compared to Mesh-Only Graft

2021 ◽  
Author(s):  
Seung Hyun ◽  
Seung Woo ◽  
Rong-Min Baek
Keyword(s):  
Asian Population ◽  
Septal Cartilage ◽  
P Value ◽  
Mesh Exposure ◽  
Nasal Tip ◽  
Patients Satisfaction ◽  
Tip Projection ◽  
Septal Extension Graft ◽  
Aesthetic Rhinoplasty ◽  
Extension Graft

AbstractDespite the great demand of aesthetic rhinoplasty in Asian population, it is difficult to obtain the lasting ideal tip projection along with lengthening of the nose due to the small and weak nasal septum. The shortage of available septal cartilage to work with is another major obstacle. A retrospective study was conducted between January 2017 and December 2019 in Seoul, Korea. A total of 774 patients underwent septorhinoplasty using polycaprolactone (PCL) mesh for the cosmetic enhancement of the nasal tip and the projection. Comparisons of aesthetic outcomes, patients' satisfaction surveys, and complications were performed between PCL mesh-only group and composite PCL group. Of all the patients, 97.5% of the patients in composite PCL group were rated more than 3 scores in aesthetic outcomes, whereas 90.4% in mesh-only group (p-value = 0.0002). About 96.7% of the patients with composite PCL rated their satisfaction level as more than satisfied, whereas 94.3% in mesh-only group (p-value = 0.0365). Overall, there were 17 patients in composite PCL group who exhibited complications including decreased tip projection, deviated nasal tip, mesh infection, and mesh exposure. However, there were two patients who had mesh injection in mesh-only group. Septorhinoplasty with septal extension graft using composite PCL graft provides robust support to the aesthetically modified projection and the lengthened nose without obvious complications on the nasal tip. Such technique allows surgeons to overcome the nature of Asian nose that is weak and small, and also provides satisfaction to patients who desire ideal tip projections and dramatic changes.

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