Feasibility and Utility of the Endonasal Septal Extension Graft in Rhinoplasty Surgery

Abstract

Background: The endonasal septal extension graft (ESEG) was first introduced as a rhinoplasty technique to aid in nasal tip support. It has since been modified and adapted for its utility in functional nasal breathing through either an open or endonasal approach. Objective: To demonstrate the feasibility and utility of the ESEG grafting technique for cosmetic and functional nasal breathing. Methods: The video shows a patient undergoing the procedure with a chief complaint of nasal obstruction who subsequently underwent septoplasty, turbinoplasty, and endonasal septal extension grafting. Results: The video submission demonstrates the feasibility and utility of the ESEG technique. Conclusion: The endonasal septal extension grafting technique utilized in functional and cosmetic nasal surgery in patients complaining of nasal obstruction with septal deviation, and nasal valve collapse is a highly successful and reliable treatment option in patients who have failed maximum medical management. The study concept and design were developed by Dr. Barrera. The acquisition, analysis, and interpretation of data were done by Dr. Barrera. Article writing, administrative, technical, and material support were by Dr. Barrera. Video footage and editing was performed by Mr. Max Swiergol. Supervision was by Dr. Barrera. Consultant, Stryker, LLC. No funding was received for this article. Runtime of video: 3 mins 42 secs