Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Upper lateral splay graft

B Guyuron1, B J Michelow, C Englebardt

  • 1Case Western Reserve University Cleveland, Ohio, USA.

Plastic and Reconstructive Surgery
|November 12, 1998
PubMed
Summary

The upper lateral splay graft effectively corrects middle vault collapse and improves nasal airflow. This surgical technique offers a reliable, physiologic alternative to external nasal dilators for internal nasal valve stenosis.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Alar rim deformities.

Plastic and reconstructive surgery·2001
Same author

Corrugator supercilii resection through blepharoplasty incision.

Plastic and reconstructive surgery·2001
Same author

A practical classification of septonasal deviation and an effective guide to septal surgery.

Plastic and reconstructive surgery·2001
Same author

Guarded burr for deepening of the nasofrontal junction.

Plastic and reconstructive surgery·2000
Same author

Corrugator supercilii muscle resection and migraine headaches.

Plastic and reconstructive surgery·2000
Same author

Dynamics in rhinoplasty.

Plastic and reconstructive surgery·2000

Area of Science:

  • Rhinology
  • Plastic Surgery
  • Otolaryngology

Background:

  • Middle vault collapse impairs nasal airflow by narrowing the internal nasal valve.
  • Traditional spreader grafts for correction have variable success rates.
  • A novel technique aims to reconstruct the nasal cartilage 'T' for improved function.

Observation:

  • The upper lateral splay graft reconstructs the nasal "T" structure, using the septum as a fulcrum.
  • This technique provides an intrinsic spring to elevate the upper lateral cartilages, opening the nasal valve.

Findings:

  • The splay graft procedure demonstrated significant functional improvement in nine patients.
  • Potential for excessive dorsal widening exists with imprudent application, impacting aesthetics in some cases.

Implications:

  • The upper lateral splay graft is a promising, physiologically sound alternative for internal nasal valve reconstruction.
  • Careful patient selection and surgical technique are crucial for optimal functional and aesthetic outcomes.

Related Experiment Videos