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Rebalancing the Skin Envelope Using Dorsal Preservation and Septal Extension Graft in Secondary Bilateral Cleft

Akimitsu Sato1, Nariaki Takamura1, Yu Yusa1

  • 1From the Department of Plastic and Reconstructive Surgery, Tohoku University Hospital, Sendai, Japan.

Plastic and Reconstructive Surgery. Global Open
|October 6, 2025
PubMed
Summary

Secondary rhinoplasty in bilateral cleft lip and palate patients can be improved by rebalancing the skin envelope. This technique enhances nasal tip projection using septal extension grafts (SEGs) without additional grafts.

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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