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Related Concept Videos

Epistaxis01:30

Epistaxis

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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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Related Experiment Video

Updated: Apr 23, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Refining the SPLF Graft: Innovations in Revision Rhinoplasty.

Enrico Robotti1, Riccardo De Bernardis2, Andreas Clauss3

  • 1Private Practice at Clinica Villa Sant'Apollonia, Via Giovanni Motta, 37, 24123, Bergamo, BG, Italy.

Plastic and Reconstructive Surgery
|April 21, 2026
PubMed
Summary
This summary is machine-generated.

The sandwich of perichondrium-lamina-fascia (SPLF) graft offers a refined solution for revision rhinoplasty dorsal reconstruction. This technique provides surgeons with a customizable, stable, and natural-looking approach, overcoming limitations of traditional methods.

Keywords:
AUTOLOGOUSCOSTAL CARTILAGENOSEREOPERATIONRHINOPLASTYSURGERYTREATMENT OUTCOME

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Revision rhinoplasty presents challenges in dorsal reconstruction.
  • Traditional grafts like diced cartilage fascia (DCF) have limitations such as warping and displacement.
  • The SPLF graft emerged in 2017 as a novel approach.

Purpose of the Study:

  • To present the refined sandwich of perichondrium-lamina-fascia (SPLF) graft technique for dorsal reconstruction in revision rhinoplasty.
  • To highlight the versatility and customization offered by the SPLF graft.
  • To demonstrate its effectiveness in achieving smooth contours and defined dorsal aesthetic lines (DAL).

Main Methods:

  • The SPLF graft involves a multilayered construct of perichondrium, lamina, and fascia.
  • Intraoperative adaptability allows real-time customization of height, contour, and lateral continuity.
  • Refinements include variations in lamination, extensions, and the use of "rib plaster".

Main Results:

  • The SPLF graft integrates seamlessly with native tissues for smooth contours.
  • It provides well-defined dorsal aesthetic lines (DAL) and consistent long-term results.
  • The technique offers predictable, stable, and natural-looking dorsal augmentation.

Conclusions:

  • The refined SPLF graft is a versatile and customizable technique for dorsal reconstruction in revision rhinoplasty.
  • It overcomes the limitations of traditional grafting methods.
  • The SPLF graft has become a cornerstone for achieving predictable and aesthetically pleasing outcomes.