Journal archive · Rib, ear and septal grafts · Nasal tip · Septum, valve and airway · 1997
Use of alar batten grafts for correction of nasal valve collapse
Toriumi DM, Josen J, Weinberger M, Tardy ME Jr.
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 alar rim grafts.
From the abstract
“To determine the efficacy of alar batten grafts for the correction of internal and external nasal valve collapse. Design: In this retrospective study, a questionnaire was used to ask patients to rate their nasal breathing before and after application of alar batten grafts. Setting: Private practice and academic…”
Excerpt; the full abstract is on PubMed.
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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.
Septum, valve and airway
Every rhinoplasty is a breathing operation whether it intends to be or not: the septum holds the nose up as well as dividing it, and the narrowest part of the whole airway is the internal valve the surgeon is standing over.
Related papers
Same topic, same years.
- 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
- PRS Nasal osteotomy and airway changesGuyuron B1998PMID 9727456Abstract
- 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