TY - JOUR
T1 - Evolution of the Septal Extension Graft in Endonasal Rhinoplasty
T2 - Long-term Efficacy and Reliability
AU - Harel, Marcos
AU - Shir-Az, Ofir
AU - Berl, Ariel
AU - Pevzner, Keren
AU - Shalom, Avshalom
N1 - Publisher Copyright:
© 2022 The Author(s). Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved.
PY - 2022/12/1
Y1 - 2022/12/1
N2 - Background: Proper nasal tip projection and rotation have a strong impact on nasal aesthetics. Septal extension graft (SEG) is one of the tools employed to improve tip projection and rotation when performing rhinoplasty. This graft typically overlaps the existing caudal septum in the midline position, lengthening it and facilitating the repositioning of the tip. Objectives: The authors sought to describe the technical evolution of the SEG in endonasal rhinoplasty and evaluate the reliability and long-term efficacy of the current technique. Methods: The authors evaluated presurgical and postsurgical photographs of the nasolabial angle and nasal proportions in 60 patients who underwent endonasal rhinoplasty with SEG. Results: The study demonstrated a clear improvement in tip projection and rotation at the 1-year follow-up. The mean preoperative nasolabial angle was 93.75° ± 9.45° compared with 101.1° ± 5.3° following surgery. Although both were normally distributed, the range of the postoperative nasolabial angle was narrower than 1-year preoperatively (standard deviation = 5.3° vs 9.45°, respectively). The Crumley ratio, utilized to describe nasal proportions, presented significant changes in nasal proportions: 3.84 preoperatively and 4.04 postoperatively (95% confidence interval = -0.24 to -0.149; P < 0.001). Conclusions: The utilization of SEG in endonasal rhinoplasty has significantly changed since first described in 2006. The adaptations made to this technique render it more reliable, and our study demonstrates its efficacy in improving tip projection and rotation over the long-term.
AB - Background: Proper nasal tip projection and rotation have a strong impact on nasal aesthetics. Septal extension graft (SEG) is one of the tools employed to improve tip projection and rotation when performing rhinoplasty. This graft typically overlaps the existing caudal septum in the midline position, lengthening it and facilitating the repositioning of the tip. Objectives: The authors sought to describe the technical evolution of the SEG in endonasal rhinoplasty and evaluate the reliability and long-term efficacy of the current technique. Methods: The authors evaluated presurgical and postsurgical photographs of the nasolabial angle and nasal proportions in 60 patients who underwent endonasal rhinoplasty with SEG. Results: The study demonstrated a clear improvement in tip projection and rotation at the 1-year follow-up. The mean preoperative nasolabial angle was 93.75° ± 9.45° compared with 101.1° ± 5.3° following surgery. Although both were normally distributed, the range of the postoperative nasolabial angle was narrower than 1-year preoperatively (standard deviation = 5.3° vs 9.45°, respectively). The Crumley ratio, utilized to describe nasal proportions, presented significant changes in nasal proportions: 3.84 preoperatively and 4.04 postoperatively (95% confidence interval = -0.24 to -0.149; P < 0.001). Conclusions: The utilization of SEG in endonasal rhinoplasty has significantly changed since first described in 2006. The adaptations made to this technique render it more reliable, and our study demonstrates its efficacy in improving tip projection and rotation over the long-term.
UR - http://www.scopus.com/inward/record.url?scp=85144587184&partnerID=8YFLogxK
U2 - 10.1093/asj/sjac121
DO - 10.1093/asj/sjac121
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 35554489
AN - SCOPUS:85144587184
SN - 1090-820X
VL - 42
SP - 1385
EP - 1393
JO - Aesthetic Surgery Journal
JF - Aesthetic Surgery Journal
IS - 12
ER -