Man Koon Suh, M.D.

How to overcome troublesome obstacle in How to overcome troublesome obstacle in Asian short nose:Asian short nose:

Hybrid Septal Extension GraftHybrid Septal Extension Graft

JW Plastic Surgery Center, Seoul, Korea

AMERICAN SOCIETY OF PLASTIC SURGEONS PLASTIC SURGERY 2013

Septal extension graft

<Extended spreader type>

<Batten type>

small septal cartilage

Autogenous rib cartilage

Hybrid septal extension graft

Methods

Septal cartilage

IHCC orear cartilage

IHCC

IHCC

septal cartilage

caudal septum

IHCC

septal cartilage graft

septal cartilage conchal cartilage

conchal cartilage

Septal cartilage

Periods: Feb. 2010 ~ Mar. 2013

Cases:57(Primary cases: 42 / Secondary contracted cases: 15)

Results

Nasal lengthening:3mm ~ 10mm

Complications:0 - infection: 0 - resorption: 0 - warping: 0 - asymmetric tip and columella: 0 Revision: 3 - 2 cases: too long tip - 1 case: low tip

caudal septum

IHCC

septal cartilage graftIHCC

septal cartilage

<POD #5 months>

<Preop> <Postop>

<Preop> <Postop>

<Preop> <Postop>

<Preop> <POD #1 yr>

<Preop> <POD #1 yr>

Advantages of hybrid septal extension graft

1. Even small septal cartilage can be utilized2. Can avoid donor site morbidity from use of ….autogenous rib cartilage3. Compared to IHCC use alone - Tip is more mobile - Deformity is much smaller in case IHCC is resorbed unexpectedly

-

A very small septal cartilage, the most common obstacle of Asian short nose correction,

can be overcome by:

hybrid septal extension grafthybrid septal extension graft

Conclusion

Thank you