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