Korean J Otorhinolaryngol-Head Neck Surg.  2015 Nov;58(11):793-797. 10.3342/kjorl-hns.2015.58.11.793.

Caudal Septal Extension Graft Using Nasal Septal Osteocartilaginous Graft

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea. vicky96@eulji.ac.kr

Abstract

The septal extension graft from the septum has become a common method of correcting a small or drooping nose in Korea. It can provide superior tip projection and definition if there is a sufficient amount of cartilage and nasal septal stability. In our case, the caudal type septal extension graft was applied unilaterally using septal osteocartilaginous graft harvested in one piece during septoplasty. It was useful in patients who needed septal extension graft in spite of the insufficient amount of available septal cartilage. For those patients, it could be used to achieve the cephalic rotation of drooping tip and the strengthening of septal support effectively. The nasal septal osteocartilaginous graft may serve as an alternative material for conchal cartilage or costal cartilage for caudal septal extension graft if the stable nasal support is maintained and the harvested graft is applied appropriately.

Keyword

Nasal cartilage; Nasal septum; Rhinoplasty; Septal extension graft
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