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Optimal harvest and efficient use of septal cartilage in rhinoplasty

Archives of Craniofacial Surgery 2021년 22권 1호 p.11 ~ 16
윤성호, 김차수, 오재욱, 이근철,
소속 상세정보
윤성호 ( Yoon Sung-Ho ) - Inje University College of Medicine Haeundae Paik Hospital Department of Plastic and Reconstructive Surgery
김차수 ( Kim Cha-Soo ) - Inje University College of Medicine Haeundae Paik Hospital Department of Plastic and Reconstructive Surgery
오재욱 ( Oh Jae-Wook ) - Inje University College of Medicine Haeundae Paik Hospital Department of Plastic and Reconstructive Surgery
이근철 ( Lee Keun-Cheol ) - Inje University College of Medicine Haeundae Paik Hospital Department of Plastic and Reconstructive Surgery

Abstract


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.

키워드

Nasal cartilage; Nasal septum; Rhinoplasty

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