Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Paik, Moo Hyun, Chu, Lo Shui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915150/
https://www.ncbi.nlm.nih.gov/pubmed/24511489
http://dx.doi.org/10.5999/aps.2014.41.1.12
_version_ 1782302535930871808
author Paik, Moo Hyun
Chu, Lo Shui
author_facet Paik, Moo Hyun
Chu, Lo Shui
author_sort Paik, Moo Hyun
collection PubMed
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.
format Online
Article
Text
id pubmed-3915150
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher The Korean Society of Plastic and Reconstructive Surgeons
record_format MEDLINE/PubMed
spelling pubmed-39151502014-02-07 Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft Paik, Moo Hyun Chu, Lo Shui Arch Plast Surg Topic: Septal Extension 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 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. The Korean Society of Plastic and Reconstructive Surgeons 2014-01 2014-01-13 /pmc/articles/PMC3915150/ /pubmed/24511489 http://dx.doi.org/10.5999/aps.2014.41.1.12 Text en Copyright © 2014 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Topic: Septal Extension Graft
Paik, Moo Hyun
Chu, Lo Shui
Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft
title 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_short 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
topic Topic: Septal Extension Graft
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915150/
https://www.ncbi.nlm.nih.gov/pubmed/24511489
http://dx.doi.org/10.5999/aps.2014.41.1.12
work_keys_str_mv AT paikmoohyun correctionofshortnosedeformityusingaseptalextensiongraftcombinedwithaderotationgraft
AT chuloshui correctionofshortnosedeformityusingaseptalextensiongraftcombinedwithaderotationgraft