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Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty
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  • Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty
  • Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty
저자명
Jeong. Jae Yong
간행물명
Archives of plastic surgery
권/호정보
2014년|41권 1호|pp.19-28 (10 pages)
발행정보
대한성형외과학회
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정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose. The success rate of this method has led to the blind faith that it provides superior tip projection and definition, and to the failure to notice its weaknesses. Even if there is a sufficient amount of cartilage, improper separation or fixation might waste the cartilage, resulting in an inefficient operation. Appropriate resection and effective fixation are essential factors for economical rhinoplasty. The septal extension graft is a remarkable procedure since it can control the nasal tip bidirectionally and three dimensionally. Nevertheless, it has a serious drawback since resection is responsible for septal weakness. Safe resection and firm reconstruction of the framework should be carried out. Operating on the basis of the principle of "safe harvest" and rebuilding the structures is important. Further, it is important to learn several techniques to manage septal weakness, insufficient cartilage quantity, and failure of the rigid frame during the surgery.