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Optimal harvest and efficient use of septal cartilage in rhinoplasty
BACKGROUND: Nasal septal cartilage is used to obtain favorable aesthetic and functional outcomes in rhinoplasty, but is often difficult to harvest or the harvested amount is insufficient. Therefore, the objective of this study is to introduce how to harvest septal cartilage optimally without losing...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Cleft Palate-Craniofacial Association
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968986/ https://www.ncbi.nlm.nih.gov/pubmed/33714247 http://dx.doi.org/10.7181/acfs.2020.00486 |
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author | Yoon, Sung Ho Kim, Cha Soo Oh, Jae Wook Lee, Keun Cheol |
author_facet | Yoon, Sung Ho Kim, Cha Soo Oh, Jae Wook Lee, Keun Cheol |
author_sort | Yoon, Sung Ho |
collection | PubMed |
description | BACKGROUND: Nasal septal cartilage is used to obtain favorable aesthetic and functional outcomes in rhinoplasty, but is often difficult to harvest or the harvested amount is insufficient. Therefore, the objective of this study is to introduce how to harvest septal cartilage optimally without losing and use harvested cartilage efficiently. METHODS: From March 2015 to January 2020, we tried to harvest as much septal cartilage as possible while maintaining the L-strut in 30 patients. A spreader flap and septal rotation suture were used instead of a spreader graft. Also in patients who needed a spreader graft and septal extension graft, a spreader graft was used on one side and a one-piece spreader graft combined with a septal extension graft was performed on the other side. For tip plasty, a columella septal suture was performed first. Postoperative patient satisfaction was assessed using the Rhinoplasty Outcome Examination questionnaire. RESULTS: No serious complications were observed. The patient satisfaction score was 50% or above in 27 patients (90%) and less than 50% in only three patients (10%). The average score was 81.5 points. CONCLUSION: For septal cartilage deficiency, a spreader flap, the septal rotation suture, or one-piece spreader graft combined with a septal extension graft was used. The nasal tip was sufficiently rotated using the columellar septal suture technique first. These techniques made it possible to obtain good aesthetic outcomes using only septal cartilage, without harvesting other cartilage. |
format | Online Article Text |
id | pubmed-7968986 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Cleft Palate-Craniofacial Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-79689862021-04-01 Optimal harvest and efficient use of septal cartilage in rhinoplasty Yoon, Sung Ho Kim, Cha Soo Oh, Jae Wook Lee, Keun Cheol Arch Craniofac Surg Original Article BACKGROUND: Nasal septal cartilage is used to obtain favorable aesthetic and functional outcomes in rhinoplasty, but is often difficult to harvest or the harvested amount is insufficient. Therefore, the objective of this study is to introduce how to harvest septal cartilage optimally without losing and use harvested cartilage efficiently. METHODS: From March 2015 to January 2020, we tried to harvest as much septal cartilage as possible while maintaining the L-strut in 30 patients. A spreader flap and septal rotation suture were used instead of a spreader graft. Also in patients who needed a spreader graft and septal extension graft, a spreader graft was used on one side and a one-piece spreader graft combined with a septal extension graft was performed on the other side. For tip plasty, a columella septal suture was performed first. Postoperative patient satisfaction was assessed using the Rhinoplasty Outcome Examination questionnaire. RESULTS: No serious complications were observed. The patient satisfaction score was 50% or above in 27 patients (90%) and less than 50% in only three patients (10%). The average score was 81.5 points. CONCLUSION: For septal cartilage deficiency, a spreader flap, the septal rotation suture, or one-piece spreader graft combined with a septal extension graft was used. The nasal tip was sufficiently rotated using the columellar septal suture technique first. These techniques made it possible to obtain good aesthetic outcomes using only septal cartilage, without harvesting other cartilage. Korean Cleft Palate-Craniofacial Association 2021-02 2021-02-20 /pmc/articles/PMC7968986/ /pubmed/33714247 http://dx.doi.org/10.7181/acfs.2020.00486 Text en Copyright © 2021 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yoon, Sung Ho Kim, Cha Soo Oh, Jae Wook Lee, Keun Cheol Optimal harvest and efficient use of septal cartilage in rhinoplasty |
title | Optimal harvest and efficient use of septal cartilage in rhinoplasty |
title_full | Optimal harvest and efficient use of septal cartilage in rhinoplasty |
title_fullStr | Optimal harvest and efficient use of septal cartilage in rhinoplasty |
title_full_unstemmed | Optimal harvest and efficient use of septal cartilage in rhinoplasty |
title_short | Optimal harvest and efficient use of septal cartilage in rhinoplasty |
title_sort | optimal harvest and efficient use of septal cartilage in rhinoplasty |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968986/ https://www.ncbi.nlm.nih.gov/pubmed/33714247 http://dx.doi.org/10.7181/acfs.2020.00486 |
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