Journal archive · Rib, ear and septal grafts · Nasal tip · Anatomy and nasal analysis · 2017
Commentary on: Three-Dimensional (3D) Columellar Strut Graft in Rhinoplasty
East C.
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Rib, ear and septal grafts
Modern rhinoplasty builds rather than removes, so the operation runs on cartilage: the septum first, then the ear, then the rib, and when none of those will do, a piece of donated rib from a tissue bank.
Nasal tip
Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.
Anatomy and nasal analysis
Before any technique is chosen, the nose has to be read: the bone measured, the cartilage counted, the skin assessed, and the result the patient wants agreed on a photograph that is not yet true.
Related papers
Same topic, 2017.
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- ASJ Use of the "Septal T" as a Spacer and Conformer for a Properly Contoured Nasal Tip in RhinoplastyRobotti E, Choc IS, Jaber O2017PMID 27277275
- APS Advocating the Use of Absorbable Sutures for Columellar Incisions Following Open RhinoplastyBeegun I, Saleh HA2017PMID 28204928Summary
- APS Columellar Scar Perception in Open Rhinoplasty. Interplay of Scar Awareness, Body Cathexis and Patient SatisfactionYağmur Ç, Ak S, Engin MS et al.2017PMID 28008458Summary
- APS 2017PMID 28032151Summary