Summary
The nose of most Koreans is characterised by a low nasal dorsum, retracted columella,
and an acute columella-labial angle. For the surgical correction of the tip and columella,
a complete septal extension graft, along with augmentation rhinoplasty has been developed.
However, the use of this type of graft is frequently problematic because the septal
cartilage is not large enough. In a study involving 10 cadavers, a complete septal
extension graft was achieved in two of them by using septal cartilage harvested according
to standard techniques. Therefore, the septal cartilage was harvested, leaving a 5-mm
L-shaped strut, and a complete septal extension graft was implanted. The present report
describes the results obtained in 34 patients and offers an analysis of the results
as judged by the columella-labial angle and three proportional indices (nose height
index, nasal bridge length index, and nasal tip projection index), measured by photogrammetry.
The postoperative values obtained in these four categories increased significantly
compared to the preoperative ones, thus confirming that the projection of tip was
augmented, the nose was lengthened, and the columella was advanced caudally. Moreover,
these positive outcomes were maintained during long-term follow-up, and no side effects,
such as saddle nose deformity, were reported.
Keywords
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Article info
Publication history
Published online: June 02, 2006
Accepted:
March 9,
2006
Received:
December 20,
2005
Footnotes
☆J.S. Kim and K.H. Han contributed equally to this paper as first authors.
Identification
Copyright
© 2006 The British Association of Plastic Surgeons. Published by Elsevier Inc. All rights reserved.
