EVALUATION OF SEPTAL EXTENSION GRAFT IN RHINOPLASTY

Husam Alaamer

doi:10.33762/bsurg.2019.164529

Abstract

Septal extension graft is a unique technique for controlling nasal lengthening and tip projection, rotation, and shape by which a graft is fixed to the septum, leading to a strong and stable supporting structure. Nasal tip three-dimensional positioning is a vital and difficult component in the overall appearance of the tip. A total of 12 Middle Eastern patients with thick nasal envelope skin were subjected to rhinoplasty using the septal extension graft (SEG) method. Eleven out of the 12 patients, had pleasing results after primary rhinoplasty with SEG, while only one patient had SEG as a secondary procedure. In conclusion, septal extension graft in rhinoplasty is an effective technique for achieving a strong supporting force of the nasal tip for adequate projection. Keywords: Nasal tip, surgery, septal extension, graft, rhinoplasty

Highlights

Positioning the graft under the dome and tapering it by a tip-defining suture would prevent the caudal end of the graft from extruding into the interdomal space which will be broaden eventually4. because of this problem, septal extension graft method is performed for this type of rhinoplasty
The overlapping and direct extension grafts was investigated by Byrd et al[5]
Compared to the butt junction type, methods contacting broadly with the cartilage such as the overlapping type may produce a more powerful fixation, but swallowing of septal mucosa and wastage of cartilage need to be taken into account

Summary

Introduction

This is especially true for Asian patients, who tend to have thick skin and weak underdeveloped cartilages, techniques for nasal tip correction is limited in this patient population[3]. Because of this problem, septal extension graft method is performed for this type of rhinoplasty. Evaluation of septal extension graft in rhinoplasty intersection at a standard lateral view of the nose) and nasolabial angle (formed by the labial surface of the upper lip at the midline and the inferior border of the nose) preoperatively and postoperatively at 3 months and 1 year intervals.

Results

Conclusion