Correction of the Short Nose using Derotation Graft.
- Author:
Moo Hyun PAIK
1
;
Lo Shui CHU
Author Information
1. 101 Plastic Surgery Clinic, Seoul, Korea. mhpaik305@naver.com
- Publication Type:Original Article
- Keywords:
Acquired Nasal Deformities;
Rhinoplasty;
Ear cartilage
- MeSH:
Cartilage;
Congenital Abnormalities;
Ear;
Ear Cartilage;
Elastic Cartilage;
Humans;
Nose;
Nose Deformities, Acquired;
Rhinoplasty;
Ribs;
Smiling;
Succinates;
Transplants
- From:Archives of Aesthetic Plastic Surgery
2012;18(1):35-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Among several techniques to maintain the lengthened cartilagenous tip structure, septal extension graft with septal cartilage or rib cartilage is most widely used. But in many cases, nasal tip rigidity with unnatural appearance on smiling is one of the major drawbacks of septal extension graft. The authors used a piece of elastic cartilage graft harvested form ear that can act as a cushion buffer between alar cartilage and septum instead of directly fixing the alar cartilage to extended septum for obtaining a less stiff nasal tip with sufficient nasal tip elongation. We called this graft "derotation graft". Derotation graft was performed in 1197 patients via the open nasal approach. Among them, 432(36%) patients had preoperative short nose deformity and 765(64%) patients developed intraoperative cephalic rotation of the tip resulting from procedures for tip projection such as columellar strut. Excellent results were achieved in 1110(93%) patients. 87(7%) patients had unsatisfactory results requiring a revision surgery because of overcorrection or undercorrection of tip rotation, poor tip projection and visible graft on supratip. Derotation graft is a simple, and effective procedure for short nose correction preventing with less post-operative nasal tip rigidity.
