Inverted L-Shaped Nasal Strut as a Modified Septal Extension Graft

Abdel Hamid, Ayman; Maher, Sherif; El Dabaany, Waleed

doi:10.21608/ejprs.2018.215073

Inverted L-Shaped Nasal Strut as a Modified Septal Extension Graft

Document Type : Original Article

Authors

The Department of Plastic Surgery, Faculty of Medicine, Fayoum University, Fayoum, Egypt

10.21608/ejprs.2018.215073

Abstract

Background: Correction of the nasal tip in rhinoplasty
surgery with better tip support needs a considerable effort.
For that issue, we used certain technique which is the use of
L-shaped columellar strut fixed in inverted position as septal
extension graft for better tip projection and fixation.
Aim of Work: Assessment of the use of inverted L-shaped
columellar strut in rhinoplasty surgery for correction of nasal
tip shape and position with more stable nose.
Patients and Methods: This study included 15 patients
who are candidate for rhinoplasty surgery for correction of
nasal tip. They underwent surgery through open approach
rhinoplasty in which special collumellar strut used as septal
extension graft to achieve good tip projection with modification
of the site of fixation to the caudal septum according to
additional nasal deformity present. Assessment of patients
done according to the photographs taken and patient’s satisfaction.
Results: Of the 15 patients who have undergone this
procedure, 15 were available for follow-up. 7 patients showed
excellent results, 6 patients were considered as a good outcome
and 2 patients were considered as fair results.
Conclusion: Inverted L-shaped collumellar struts used as
septal extension graft proved to be effective to correct nasal
tip shape, position and stability.

Keywords

Main Subjects

Aesthetics

References

Myung-Hoon Kim, Jeong-Hwan Choi, Min-Su Kim, Seok-
Kwun Kim and Keun-Cheol Lee: An Introduction to the
Septal Extension Graft Arch. Plast .Surg., 41: 29-34, 2014.
2- Ha R.Y. and Byrd H.S.: Septal extension grafts revisited:
6-year experience in controlling nasal tip projection and
shape. Plast. Reconstr. Surg., 112: 1929-35, 2003.
3- Jae Hoon Kim, Jin Woo Song, Sung Wan Park, Won Suk
Oh and Joo Heon Lee: Effective Septal Extension Graft
for Asian Arch. Plast. Surg., 41: 3-11, 2014.
4- Toriumi D.M.: New Concepts in Nasal Tip Contouring.
Archives of Facial Plastic Surgery, 8 (3): 156-85, 2006.
5- Foda H.M.: The Caudal Septum Replacement Graft.
Archives of Facial Plastic Surgery, 10 (3): 152-7, 2008.
6- Petroff M.A., Mccollough E.G., Horn D. and Anderson
JR.: Nasal Tip Projection: Quantitative Changes Following
Rhinoplasty. Archives of Otolaryngology Head and Neck
Surgery, 117 (7): 783-8, 1991.
7- Hwang S.H. and Hwang K.: Supporting strength of septal
extension grafts. J. Craniofac. Surg., 22: 23-6, 2011.
8- Kim J.S., Choi J.H., Choi T.H., et al.: Modified septal
extension graft for the correction of nasal tip and columella.
J. Korean Soc. Plast. Reconstr. Surg., 33: 681-7, 2006.
9- Byrd H.S., Andochick S., Copit S. and Walton K.G.:
Septal Extension Grafts: Amethod of Controlling Tip
Projection Shape. Plastic and Reconstructive Surgery,
100 (4): 999-1010, 1997.
10- Han K., Jeong J.W. and Kim J.H.: Complete Septal
Extension Grafts Using Porous High-Density Polyethylene
Sheets for the Esternization of the Asian nose. Plastic and
Reconstructive Surgery, 130: 106e-115e, 2012.
11- Peer L.A.: Fate of Autogenous Human Bone Grafts. British
Journal of Plastic Surgery, 3 (2): 233-43, 1951