Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft
In patients having a short nose with a short septal length and/or severe columellar retraction, a septal extension graft is a good solution, as it allows the dome to move caudally and pushes down the columellar base. Fixing the medial crura of the alar cartilages to a septal extension graft leads to...
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Korean Society of Plastic and Reconstructive Surgeons
2014-01-01
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Online Access: | http://www.e-aps.org/upload/pdf/aps-41-12.pdf |
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doaj-cb43d3c7a5364108a20781d8ded7e6e52020-11-24T23:30:12ZengKorean Society of Plastic and Reconstructive SurgeonsArchives of Plastic Surgery2234-61632234-61712014-01-01411121810.5999/aps.2014.41.1.12311Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation GraftMoo Hyun Paik0Lo Shui Chu1101 Plastic Surgery Clinic, Seoul, Korea.101 Plastic Surgery Clinic, Seoul, Korea.In patients having a short nose with a short septal length and/or severe columellar retraction, a septal extension graft is a good solution, as it allows the dome to move caudally and pushes down the columellar base. Fixing the medial crura of the alar cartilages to a septal extension graft leads to an uncomfortably rigid nasal tip and columella, and results in unnatural facial animation. Further, because of the relatively small and weak septal cartilage in the East Asian population, undercorrection of a short nose is not uncommon. To overcome these shortcomings, we have used the septal extension graft combined with a derotation graft. Among 113 patients who underwent the combined procedure, 82 patients had a short nose deformity alone; the remaining 31 patients had a short nose with columellar retraction. Thirty-two patients complained of nasal tip stiffness caused by a septal extension graft from previous operations. In addition to the septal extension graft, a derotation graft was used for bridging the gap between the alar cartilages and the septal extension graft for tip lengthening. Satisfactory results were obtained in 102 (90%) patients. Eleven (10%) patients required revision surgery. This combination method is a good surgical option for patients who have a short nose with small septal cartilages and do not have sufficient cartilage for tip lengthening by using a septal extension graft alone. It can also overcome the postoperative nasal tip rigidity of a septal extension graft.http://www.e-aps.org/upload/pdf/aps-41-12.pdfNasal cartilagesEar cartilageNasal septum |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Moo Hyun Paik Lo Shui Chu |
spellingShingle |
Moo Hyun Paik Lo Shui Chu Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft Archives of Plastic Surgery Nasal cartilages Ear cartilage Nasal septum |
author_facet |
Moo Hyun Paik Lo Shui Chu |
author_sort |
Moo Hyun Paik |
title |
Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft |
title_short |
Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft |
title_full |
Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft |
title_fullStr |
Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft |
title_full_unstemmed |
Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft |
title_sort |
correction of short nose deformity using a septal extension graft combined with a derotation graft |
publisher |
Korean Society of Plastic and Reconstructive Surgeons |
series |
Archives of Plastic Surgery |
issn |
2234-6163 2234-6171 |
publishDate |
2014-01-01 |
description |
In patients having a short nose with a short septal length and/or severe columellar retraction, a septal extension graft is a good solution, as it allows the dome to move caudally and pushes down the columellar base. Fixing the medial crura of the alar cartilages to a septal extension graft leads to an uncomfortably rigid nasal tip and columella, and results in unnatural facial animation. Further, because of the relatively small and weak septal cartilage in the East Asian population, undercorrection of a short nose is not uncommon. To overcome these shortcomings, we have used the septal extension graft combined with a derotation graft. Among 113 patients who underwent the combined procedure, 82 patients had a short nose deformity alone; the remaining 31 patients had a short nose with columellar retraction. Thirty-two patients complained of nasal tip stiffness caused by a septal extension graft from previous operations. In addition to the septal extension graft, a derotation graft was used for bridging the gap between the alar cartilages and the septal extension graft for tip lengthening. Satisfactory results were obtained in 102 (90%) patients. Eleven (10%) patients required revision surgery. This combination method is a good surgical option for patients who have a short nose with small septal cartilages and do not have sufficient cartilage for tip lengthening by using a septal extension graft alone. It can also overcome the postoperative nasal tip rigidity of a septal extension graft. |
topic |
Nasal cartilages Ear cartilage Nasal septum |
url |
http://www.e-aps.org/upload/pdf/aps-41-12.pdf |
work_keys_str_mv |
AT moohyunpaik correctionofshortnosedeformityusingaseptalextensiongraftcombinedwithaderotationgraft AT loshuichu correctionofshortnosedeformityusingaseptalextensiongraftcombinedwithaderotationgraft |
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