Abstract
To study the use of septal extension graft for increasing nasal tip projection in cases of an under-projected nasal tip and to evaluate post-operative aesthetic and functional outcomes associated with it. 28 patients of underprojected tip underwent rhinoplasty with use of Direct caudal type of Septal extension graft with a minimum follow up of 12 months, operated between January 2018 to January 2020. ROE questionnaire and photographic evaluation were used for the assessment of post-operative functional and aesthetic outcomes. Significant improvement was seen in both aesthetic and functional outcomes with a mean ROE questionnaire score of 30.5 pre-operatively to 79.5 post-operatively. Pre-operative and post-operative photographic evaluation showed significant improvement in aesthetic outcome. None of the patients reported any postoperative complication. Septal extension graft can be used in patients with nasal tip deformity, Binder’s syndrome, caudal septal dislocation, drooping tip,/ retracted columella and short nose with good post-operative aesthetic and functional outcomes and hence is an important technique for grafting. Owing to its rigid fixation with nasal septum, anterior nasal spine and lower alar cartilage, long term results for the control of nasal tip projection and rotation are remarkable.
Similar content being viewed by others
Abbreviations
- ROE:
-
Rhinoplasty Outcome Evaluation
- OPD:
-
Out Patient Department
References
Byrd HS, Andochick S, Copit S et al (1997) Septal extension grafts: a method of controlling tip projection shape. Plast Reconstr Surg 100:999–1010
Seyhan A, Ozden S, Ozaslan U, Sir E (2007) A simplified use of septal extension graft to control nasal tip location. Aesthetic Plast Surg 31(5):506–513
Kim JS, Han KH, Choi TH (2007) Correction of the nasal tip and columella in Koreans by a complete septal extension graft using an extensive harvesting technique. J Plast Reconstr Aesthet Surg 60(2):163–170
Kang JG, Ryu J (2009) Nasal tip surgery using a modified septal extension graft by means of extended marginal incision. Plast Reconstr Surg 123(1):343–352
Alyssa JR, Kevin JC, Henry MS (2011) Nasal spreader grafts: a comparison of Medpor to autologous tissue reconstruction. Ann Plast Surg 66(1):24–28
Palacín JM, Bravo FG, Zeky R, Schwarze H (2007) Controlling nasal length with extended spreader grafts: a reliable technique in primary rhinoplasty. Aesthetic Plast Surg 31(6):645–650
Sen C, Iscen D (2006) Caudal septal advancement for nasal tip projection and support in rhinoplasty. Aesthetic Plast Surg 30(2):135–140
Chang YL (2010) Correction of difficult short nose by modified caudal septal advancement in Asian patients. Aesthet Surg J 30(2):166–175
Kim MH, Choi JH, Kim MS, Kim SK, Lee KC (2014) An introduction to the septal extension graft. Arch Plast Surg 41(1):29–34. https://doi.org/10.5999/aps.2014.41.1.29
Millard DR, Mejia FA (2001) Reconstruction of the nose damaged by cocaine. Plast Reconstr Surg 107(2):419–424
Ha RY, Byrd HS (2003) Septal extension grafts revisited: 6-year experience in controlling nasal tip projection and shape. Plast Reconstr Surg 112:1929–1935
Karadavut, Yunus, Akyıldız, İlker, Emir Karadaş, Hatice, Dinç, Aykut, Tulacı, Gökçe, Tastan, Eren (2016). Effectiveness of caudal septal extension graft application in endonasal septoplasty. Brazilian Journal of Otorhinolaryngology. 83
Jinde L, Xiaoping C, Xin W, Xia G, Xiangyu Z, Xin C, Yugang Y (2013) A modified septa extension graft for the Asian nasal. JAMA Facial Plastic Surgery.Sep 362-368
Anderson JR (1984) A reasoned approach to nasal base surgery. Arch Otolaryngol 110(6):349–358
Toriumi DM (1995) Caudal septal extension graft for correction of the retracted columella. Oper Tech Otolaryngol Head Neck Surg 6:311–318
Akkus AM, Eryilmaz E, Guneren E (2013) Comparison of the effects of columellar strut and septal extension grafts for tip support in rhinoplasty. Aesthetic Plast Surg 37:666–673
Rohrich RJ, Kurkjian TJ, Hoxworth RE, Stephan PJ, Mojallal A (2012) The effect of the columellar strut graft on nasal tip position in primary rhinoplasty. Plast Reconstr Surg 130:926–932
Funding
This research has not been supported by any funding.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of Interest
The author declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Baser, B., Sundrani, P. & Singh, P. Septal Extension Graft in Increasing Nasal Tip Projection. Indian J Otolaryngol Head Neck Surg 74, 334–342 (2022). https://doi.org/10.1007/s12070-021-02585-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-021-02585-x