Abstract
The contemporary teaching that the correction of a saddle nose lacking tip support necessitates the insertion of an L-shaped (hinged) graft is based on the premise that the lobule is supported mainly by the septum.<sup>1,3,6,7</sup> The purpose of this paper is to present some evidence to show that this teaching requires revision and that the L-shaped graft has no place in rhinoplastic surgery. Perhaps we can bring our facts into better focus by giving the background of the L-shaped graft, its disadvantages, and the reason why we have abandoned its use for the past 20 years. <h3>History</h3> The use of the L-shaped graft began in the latter half of the 1800's at a time when rhinoplastic surgeons were beset by many problems, one of which was how to produce a gradually increasing nasal profile projection. Credit for the solution of this problem must be given to von Hacker<sup>8</sup>
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
