Septal Extension Graft Versus Columellar Strut - 29/07/24

Doi : 10.1016/j.fsc.2024.06.005

Roxana Cobo, MD ^a,^⁎ , Brian Wong, MD, PhD ^b, Edwin F. Williams, MD ^c, Matthew J. Urban, MD ^c
^a Facial Plastic Surgery, Department of Otolaryngology, Clinica Imbanaco, Carrera 38A #5A-100 cons 222 Torre A, Cali 760042, Colombia
^b Department of Otolaryngology–Head and Neck Surgery, University of California Irvine, 1002 Health Sciences Road East, Irvine, CA 92617, USA
^c The Williams Center for Plastic Surgery, 1072 Troy-Schenectady Boulevard, Suite 201, Latham, NY 12110, USA

^∗Corresponding author.

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Résumé

Stabilizing the nasal base is important before working on the nasal tip lobule. This will help define the nasolabial angle, the alar columellar relationship and nasal tip projection and rotation. Columellar struts and septal extension grafts are techniques that balance the nasal base and create a stable structure to modify the nasal tip. The type of graft used, and its design will depend on the patient’s needs, cartilage availability and surgical techniques used. An endonasal or open approach can be used. In this chapter, authors will share their experience using columellar struts and the different types of septal extension grafts.

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Keywords : Rhinoplasty, Septal extension graft, Columellar strut, Nasal tip support, Undefined nasal tip, Nasal tip projection, Nasal tip rotation