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The Saddle Projection Graft.

Michael E Nissan, Jon Kurkjian

    Aesthetic Surgery Journal. Open Forum
    |October 18, 2024
    PubMed
    Summary
    This summary is machine-generated.

    This study introduces a novel saddle projection graft technique for precise nasal tip control. The method offers reproducible and predictable results in nasal tip projection and rotation.

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    Area of Science:

    • Rhinoplasty and Plastic Surgery
    • Surgical Techniques
    • Nasal Reconstruction

    Background:

    • Nasal tip projection and rotation are critical aesthetic and functional elements in rhinoplasty.
    • Existing techniques may have limitations in predictability, reproducibility, or cause complications like external valve obstruction.

    Purpose of the Study:

    • To present a novel, reliable, and reproducible technique for controlling nasal tip projection and rotation using a midline saddle cartilage graft.

    Main Methods:

    • A saddle projection graft (approximately 5x15 mm) is fashioned from septal cartilage with a sagittal groove.
    • The graft is inset onto the anterior septal angle, with the septum fitting into the groove, and secured with sutures.
    • The graft is positioned anteriorly to achieve the desired nasal tip projection, stabilizing the nasal tip.

    Main Results:

    • The technique provides predictable control over nasal tip projection and rotation.
    • The midline placement avoids introducing new nasal tip deviation or asymmetry.
    • The graft's dimensions are manageable, and it does not cause external valve obstruction or visibility issues.

    Conclusions:

    • The saddle projection graft is a non-bulky, reproducible, and intuitive technique for nasal tip refinement.
    • This method offers stable support against scar maturation forces, ensuring predictable outcomes in nasal tip surgery.
    • The technique is effective for achieving reliable nasal tip projection and rotation control.