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Subdorsal Cantilever Graft: Indications and Technique
Dean M Toriumi1, Milos Kovacevic2
1Department of Otolaryngology-Head & Neck Surgery, Rush University Medical School, Chicago, IL, USA; Private Practice, 60 East Delaware Place, Suite 1425, Chicago, IL 60611, USA.
Facial Plastic Surgery Clinics of North America
|November 17, 2022
Summary
The subdorsal cantilever graft (SDCG) is a versatile cartilage graft used in rhinoplasty. It effectively corrects saddle nose deformities and augments the nasal dorsum in ethnic rhinoplasty patients.
Area of Science:
- Plastic Surgery
- Rhinologic Surgery
Background:
- The subdorsal cantilever graft (SDCG) is a costal cartilage graft.
- It is positioned below the nasal dorsum to control nasal bones and the middle nasal vault.
Purpose of the Study:
- To discuss the indications and technique of the SDCG.
- Focusing on its application in dorsal preservation rhinoplasty.
Main Methods:
- SDCG type A is utilized to elevate the middle nasal vault and caudal nasal bones.
- SDCG type B is employed to augment the entire nasal dorsum, including the radix, bony vault, and middle vault.
Main Results:
- SDCG type A effectively corrects saddle nose deformities.
- SDCG type B is suitable for ethnic augmentation rhinoplasty patients requiring comprehensive dorsal augmentation.
Conclusions:
- The SDCG offers distinct advantages for specific reconstructive and aesthetic goals in rhinoplasty.
- Understanding the nuances between SDCG type A and type B is crucial for successful surgical outcomes.

