Journal archive · Rib, ear and septal grafts · Nasal tip · 1997
Lateral crural strut graft: technique and clinical applications in rhinoplasty
Gunter JP, Friedman RM.
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 lateral crural techniques.
From the abstract
“The lateral crural strut graft is a new, versatile technique for reshaping, repositioning, or reconstructing the lateral crura. These grafts are strips of autogenous cartilage that are sutured to the deep surface of the lateral crura. Lateral crural struts are useful in the correction of the boxy nasal tip,…”
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.
- AOHN Use of alar batten grafts for correction of nasal valve collapseToriumi DM, Josen J, Weinberger M et al.1997PMID 9260543Abstract
- PRS Septal extension grafts: a method of controlling tip projection shapeByrd HS, Andochick S, Copit S et al.1997PMID 9290671Abstract
- 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
- PRS 1996PMID 8596801Abstract