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J Cosmet Med 2022; 6(2): 103-105

Published online December 31, 2022

https://doi.org/10.25056/JCM.2022.6.2.103

Using nasal septal cartilage-bone complex for anterior septal reconstruction in Asians

Tae-Hoon Lee , MD, PhD, MBA

Department of Otolaryngology-Head and Neck Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Rep. of Korea

Correspondence to :
Tae-Hoon Lee
E-mail: thlee@uuh.ulsan.kr

Received: November 29, 2022; Revised: December 13, 2022; Accepted: December 13, 2022

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

In Asian rhinoplasty, nasal tip projection and lengthening are often required because of the low nasal tip position and short nose. Anterior septal reconstruction (ASR) is performed for nasal tip projection or lengthening with severe caudal septal deviation. The septal cartilage should be sufficiently large for ASR and other grafting procedures; however, many Asians have a small septal cartilage. Here, we introduce a nasal tip-supporting technique using a septal cartilage-bone complex for Asians with a small septal cartilage and severe caudal septal deviation.

Keywords: ethmoid bone, nasal cartilages, nasal septum, rhinoplasty

Fig. 1.Harvested septal cartilage-bone complex.
  1. Akkus AM, Eryilmaz E, Guneren E. Comparison of the effects of columellar strut and septal extension grafts for tip support in rhinoplasty. Aesthetic Plast Surg 2013;37:666-73.
    Pubmed CrossRef
  2. Surowitz J, Lee MK, Most SP. Anterior septal reconstruction for treatment of severe caudal septal deviation: clinical severity and outcomes. Otolaryngol Head Neck Surg 2015;153:27-33.
    Pubmed CrossRef
  3. Han K, Jeong JW, Kim JH, Son D, Kim S, Park SW, et al. Complete septal extension grafts using porous high-density polyethylene sheets for the westernization of the Asian nose. Plast Reconstr Surg 2012;130:106e-115e.
    Pubmed CrossRef
  4. Hwang K, Huan F, Kim DJ. Mapping thickness of nasal septal cartilage. J Craniofac Surg 2010;21:243-4.
    Pubmed CrossRef
  5. Hu K, Xu H, Zhang Y, Lin Z, Chen Y. Anatomical study of nasal septal cartilage in Eastern Chinese. J Surg 2019;7:46-9.
    CrossRef
  6. Samibut P, Meevassana J, Suwajo P, Nilprapha K, Promniyom P, Iamphongsai S, et al. The anatomical study of the nasal septal cartilage with its clinical implications. Aesthetic Plast Surg 2021;45:1705-11.
    Pubmed CrossRef
  7. Miles BA, Petrisor D, Kao H, Finn RA, Throckmorton GS. Anatomical variation of the nasal septum: analysis of 57 cadaver specimens. Otolaryngol Head Neck Surg 2007;136:362-8.
    Pubmed CrossRef
  8. Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts. Plast Reconstr Surg 2010;125:40e-49e.
    Pubmed CrossRef
  9. Lee SH, Koo MG, Kang ET. Septal cartilage/ethmoid bone composite graft: a new and improved method for the correction underdeveloped nasal septum in patients with short noses. Aesthetic Plast Surg 2017;41:388-94.
    Pubmed CrossRef
  10. Lee TH, Kim S. Application of three-dimensional printing technology and Plan-Do-Check-Act (PDCA) cycle in deviated nose correction. J Cosmet Med 2021;5:53-6.
    CrossRef

Article

How We Do It

J Cosmet Med 2022; 6(2): 103-105

Published online December 31, 2022 https://doi.org/10.25056/JCM.2022.6.2.103

Copyright © Korean Society of Korean Cosmetic Surgery.

Using nasal septal cartilage-bone complex for anterior septal reconstruction in Asians

Tae-Hoon Lee , MD, PhD, MBA

Department of Otolaryngology-Head and Neck Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Rep. of Korea

Correspondence to:Tae-Hoon Lee
E-mail: thlee@uuh.ulsan.kr

Received: November 29, 2022; Revised: December 13, 2022; Accepted: December 13, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In Asian rhinoplasty, nasal tip projection and lengthening are often required because of the low nasal tip position and short nose. Anterior septal reconstruction (ASR) is performed for nasal tip projection or lengthening with severe caudal septal deviation. The septal cartilage should be sufficiently large for ASR and other grafting procedures; however, many Asians have a small septal cartilage. Here, we introduce a nasal tip-supporting technique using a septal cartilage-bone complex for Asians with a small septal cartilage and severe caudal septal deviation.

Keywords: ethmoid bone, nasal cartilages, nasal septum, rhinoplasty

Fig 1.

Figure 1.Harvested septal cartilage-bone complex.
Journal of Cosmetic Medicine 2022; 6: 103-105https://doi.org/10.25056/JCM.2022.6.2.103

References

  1. Akkus AM, Eryilmaz E, Guneren E. Comparison of the effects of columellar strut and septal extension grafts for tip support in rhinoplasty. Aesthetic Plast Surg 2013;37:666-73.
    Pubmed CrossRef
  2. Surowitz J, Lee MK, Most SP. Anterior septal reconstruction for treatment of severe caudal septal deviation: clinical severity and outcomes. Otolaryngol Head Neck Surg 2015;153:27-33.
    Pubmed CrossRef
  3. Han K, Jeong JW, Kim JH, Son D, Kim S, Park SW, et al. Complete septal extension grafts using porous high-density polyethylene sheets for the westernization of the Asian nose. Plast Reconstr Surg 2012;130:106e-115e.
    Pubmed CrossRef
  4. Hwang K, Huan F, Kim DJ. Mapping thickness of nasal septal cartilage. J Craniofac Surg 2010;21:243-4.
    Pubmed CrossRef
  5. Hu K, Xu H, Zhang Y, Lin Z, Chen Y. Anatomical study of nasal septal cartilage in Eastern Chinese. J Surg 2019;7:46-9.
    CrossRef
  6. Samibut P, Meevassana J, Suwajo P, Nilprapha K, Promniyom P, Iamphongsai S, et al. The anatomical study of the nasal septal cartilage with its clinical implications. Aesthetic Plast Surg 2021;45:1705-11.
    Pubmed CrossRef
  7. Miles BA, Petrisor D, Kao H, Finn RA, Throckmorton GS. Anatomical variation of the nasal septum: analysis of 57 cadaver specimens. Otolaryngol Head Neck Surg 2007;136:362-8.
    Pubmed CrossRef
  8. Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts. Plast Reconstr Surg 2010;125:40e-49e.
    Pubmed CrossRef
  9. Lee SH, Koo MG, Kang ET. Septal cartilage/ethmoid bone composite graft: a new and improved method for the correction underdeveloped nasal septum in patients with short noses. Aesthetic Plast Surg 2017;41:388-94.
    Pubmed CrossRef
  10. Lee TH, Kim S. Application of three-dimensional printing technology and Plan-Do-Check-Act (PDCA) cycle in deviated nose correction. J Cosmet Med 2021;5:53-6.
    CrossRef

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