Different techniques for caudal extension graft placement in rhinoplasty

Resultados de la técnica septum bisagra en desviación de la punta nasal

“…Debemos colocar, con suturas adecuadas, el tabique nasal, principalmente el tercio anteroinferior. Para fijar el borde caudal del septum tenemos diferentes opciones: Injerto de extensión caudal septal 6, 7 Toriumi 8,9 describe la utilización de injertos de extensión caudal septal y doble spreader para centrar la punta nasal. El injerto de extensión septal puede tener forma triangular, donde el cateto de menor longitud es el que queda orientado a nivel del dorso piramidal (suturado entre los spreader), con la intención que no rote demasiado la punta nasal.…”

Compulsory auricular cartilage use: Modified septal extension graft application in revision rhinoplasty

“…However, nasal obstruction complaints were observed in three (17%) of our patients in their postoperative follow-up. [25][26][27] Considering that the possibility of nasal obstruction complaint may be high in our technique, we plan to measure this possibility in future patients with preoperative and postoperative rhinomanometric tests.…”

Letter to the Editor Regarding “Caudal Septal Division and Interposition Batten Graft: A Novel Technique to Correct Caudal Septal Deviation in Septoplasty”

“…It is encouraging to see that the authors have supported our long-standing practice using the interposition batten graft for correction of caudal septal deviation and caudal extension graft placement. 2 We explained the very same technique to resolve caudal septal deviation; however, some points should be clarified. The authors claim that the caudal septal height can be more easily adjusted using this technique.…”

“…Although we use this technique during open approach septorhinoplasty, 2 it can easily be performed in endonasal septoplasty as well. In our series of 457 patients, the interlaced cartilage technique was used in 11 cases to correct angulated caudal septal cartilage.…”