Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty

Background:. One of the faced difficulties of nasal tip surgery is progressive loss of nasal tip projection and rotation postoperatively. Nasal base stabilization by septal extension grafts has shown to improve this loss over time. The aim of this study was to demonstrate that a modified septal exte...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yasser El Badawy, MD, FRCSI, EBOPRAS, Yasmeen El Saloussy, MSc, MRCSEd
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3fc581054f12449586ee880075d962e9
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3fc581054f12449586ee880075d962e9
record_format	dspace
spelling	oai:doaj.org-article:3fc581054f12449586ee880075d962e92021-11-25T07:57:34ZEffect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty2169-757410.1097/GOX.0000000000003880https://doaj.org/article/3fc581054f12449586ee880075d962e92021-10-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003880https://doaj.org/toc/2169-7574Background:. One of the faced difficulties of nasal tip surgery is progressive loss of nasal tip projection and rotation postoperatively. Nasal base stabilization by septal extension grafts has shown to improve this loss over time. The aim of this study was to demonstrate that a modified septal extension graft can provide the required tip rotation/derotation by changing the angle of the graft’s insertion. In addition, it maintains nasal tip projection without creating a rigid tip. Other than that it avoids the requirement of a large amount of cartilage. Materials/Methods:. This study involves a retrospective review of 37 patients who underwent open rhinoplasty for primary or secondary cases over a period of 12 months. The average age of the patients was 28 years (range = 20–43 years), and all patients were of Middle Eastern origin. Subjective evaluation based on photographic analysis was used pre and postoperatively. Results:. All cases included in this study maintained their operative results of tip rotation. Two cases showed a minimal decrease in tip projection documented upon review 6–12 months postoperatively. No patient needed secondary revision surgery due to changes in tip projection or rotation. The objective pre and postoperative findings were satisfying for the patients and surgeons. Conclusions:. The modified septal extension graft is an effective tool for rotation of the nasal tip as well as derotation of an over rotated tip. It is also capable of maintaining nasal tip projection.Yasser El Badawy, MD, FRCSI, EBOPRASYasmeen El Saloussy, MSc, MRCSEdWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 10, p e3880 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Yasser El Badawy, MD, FRCSI, EBOPRAS Yasmeen El Saloussy, MSc, MRCSEd Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty
description	Background:. One of the faced difficulties of nasal tip surgery is progressive loss of nasal tip projection and rotation postoperatively. Nasal base stabilization by septal extension grafts has shown to improve this loss over time. The aim of this study was to demonstrate that a modified septal extension graft can provide the required tip rotation/derotation by changing the angle of the graft’s insertion. In addition, it maintains nasal tip projection without creating a rigid tip. Other than that it avoids the requirement of a large amount of cartilage. Materials/Methods:. This study involves a retrospective review of 37 patients who underwent open rhinoplasty for primary or secondary cases over a period of 12 months. The average age of the patients was 28 years (range = 20–43 years), and all patients were of Middle Eastern origin. Subjective evaluation based on photographic analysis was used pre and postoperatively. Results:. All cases included in this study maintained their operative results of tip rotation. Two cases showed a minimal decrease in tip projection documented upon review 6–12 months postoperatively. No patient needed secondary revision surgery due to changes in tip projection or rotation. The objective pre and postoperative findings were satisfying for the patients and surgeons. Conclusions:. The modified septal extension graft is an effective tool for rotation of the nasal tip as well as derotation of an over rotated tip. It is also capable of maintaining nasal tip projection.
format	article
author	Yasser El Badawy, MD, FRCSI, EBOPRAS Yasmeen El Saloussy, MSc, MRCSEd
author_facet	Yasser El Badawy, MD, FRCSI, EBOPRAS Yasmeen El Saloussy, MSc, MRCSEd
author_sort	Yasser El Badawy, MD, FRCSI, EBOPRAS
title	Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty
title_short	Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty
title_full	Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty
title_fullStr	Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty
title_full_unstemmed	Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty
title_sort	effect of modified septal extension grafts on the nasal tip in rhinoplasty
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/3fc581054f12449586ee880075d962e9
work_keys_str_mv	AT yasserelbadawymdfrcsiebopras effectofmodifiedseptalextensiongraftsonthenasaltipinrhinoplasty AT yasmeenelsaloussymscmrcsed effectofmodifiedseptalextensiongraftsonthenasaltipinrhinoplasty
_version_	1718413613202407424

Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty

Ejemplares similares