Journal archive · Nasal tip · Septum, valve and airway · 1997
Septal extension grafts: a method of controlling tip projection shape
Byrd HS, Andochick S, Copit S, Walton KG.
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 rotation and projection.
From the abstract
“Failure to control the projection, shape, and rotation of the nasal tip is a common occurrence among patients with weak lower lateral cartilages. These patients' noses are characterized by a weak midvault, a plunging tip with "Polly beak," and drawn-up alae. The purpose of our study was to identify methods for…”
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.
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.
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- PRS Nasal osteotomy and airway changesGuyuron B1998PMID 9727456Abstract
- AOHN Alar reductions in rhinoplastyGilbert SE1996PMID 8663954Abstract
- PRS 1996PMID 8596801Abstract