Journal archive · Rib, ear and septal grafts · Nasal tip · 1996
A new technique for nasal tip cartilage graft in primary rhinoplasty
Adham MN.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on tip onlay graft.
From the abstract
“Inadequate tip projection in traditional rhinoplasty led to postrhinoplasty deformity, which with time got worse. Sheen's vertical shield and Peck's horizontal multiple rectangular stacked cartilage graft have been used to reduce postrhinoplasty tip projection loss. The new two fixed column disk cartilage graft…”
Excerpt; the full abstract is on PubMed.
Citation
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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.
Related papers
Same topic, same years.
- APS Augmentation with cartilage grafts around the pyriform aperture to improve the midface and profile in binder's syndromeWatanabe T, Matsuo K1996PMID 8919390Abstract
- AOHN Alar reductions in rhinoplastyGilbert SE1996PMID 8663954Abstract
- AOHN Use of alar batten grafts for correction of nasal valve collapseToriumi DM, Josen J, Weinberger M et al.1997PMID 9260543Abstract
- PRS Lateral crural strut graft: technique and clinical applications in rhinoplastyGunter JP, Friedman RM1997PMID 9091939Abstract
- PRS Septal extension grafts: a method of controlling tip projection shapeByrd HS, Andochick S, Copit S et al.1997PMID 9290671Abstract