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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Nasal tip contouring using lower lateral cartilages.

Bilgetürk Bilen¹, Hidir Kilinc, Goktekin Tenekeci

¹Plastic Surgery Department, Turgut Ozal Medical Center, Inonu University, Malatya, Turkey.

The Journal of Craniofacial Surgery

|November 15, 2011

Summary

This study presents a simple cartilage grafting technique for rhinoplasty to improve nasal tip projection and shape. The method ensures natural appearance and avoids visible cartilage, achieving high patient and surgeon satisfaction.

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Area of Science:

Plastic Surgery
Otolaryngology

Background:

Nasal tip management is critical in rhinoplasty, requiring optimal projection and rotation.
Various techniques exist, but challenges like visible cartilage and maintaining symmetry persist.

Purpose of the Study:

To describe a straightforward cartilage grafting method for nasal tip refinement in rhinoplasty.
To enhance nasal tip projection, contour, and symmetry while preventing visible cartilage.

Main Methods:

Utilized the cephalic portion of lower lateral cartilages as an overgraft on shield or onlay grafts.
Employed standard open rhinoplasty techniques with meticulous suturing of all cartilage grafts.
Applied the technique in 330 out of 365 regularly followed patients undergoing primary or secondary rhinoplasty.

Main Results:

Achieved satisfactory aesthetic outcomes, meeting both patient and surgeon expectations.
The overgrafting technique facilitated precise nasal tip shaping.
Reported a high success rate in a cohort of 1480 patients over a 7-year period.

Conclusions:

The described overgrafting cartilage graft technique is effective and simple for nasal tip management in rhinoplasty.
It successfully addresses projection, shaping, symmetry, and the "visible cartilage" issue.
The method offers a reliable approach for achieving natural-looking and aesthetically pleasing rhinoplasty results.