Biomechanical analysis of a modified suture technique for septal extension grafts: Transloop suture

Gürsoy, Koray; Teymur, Hakan; Kızıltay, Aysel; Hasırcı, Nesrin; Koçer, Uğur

doi:10.1016/j.bjps.2019.05.046

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…Several approaches of fixation with sutures have been proposed to strengthen the septum-extension graft unit. 11,12 In addition, the method of adding supplementary grafts to fill the structural gap contributes to the stability of the cartilaginous framework. 13 However, sutures have a cutting effect on tissue and may loosen, causing graft displacement.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the variety of approaches to construct a cartilaginous framework, the stability of the SEGs is the basis of framework construction. Several approaches of fixation with sutures have been proposed to strengthen the septum-extension graft unit 11,12 . In addition, the method of adding supplementary grafts to fill the structural gap contributes to the stability of the cartilaginous framework 13 .…”

Section: Discussionmentioning

confidence: 99%

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Modified Drilled Extended Spreader Grafts in Asian Rhinoplasty: Clinical Application and Histopathological Analysis

Song

Zhang

et al. 2023

Journal of Craniofacial Surgery

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Background: Extended Spreader Grafts (ESGs) are widely used for both esthetic and functional purpose in rhinoplasty. This study aims to examine the effects of drilling on ESGs in rhinoplasty and their clinical benefits, as well as to analyze their histologic characteristics. Methods: We conducted a retrospective review of patients undergoing esthetic rhinoplasty using drilled ESGs with autologous costal cartilage by a senior surgeon from January 2018 to April 2022. Results: A total of 80 patients were included, with a mean follow-up period of 26 months. Revision operations were performed on 4 patients. The phenomenon of tissue ingrowth from the septum mucoperichondrium to the septal cartilage through the holes of the drilled ESGs was observed in all 4 patients. Specimens of the ingrown tissue were taken from 3 patients during their revision surgeries. Vascular structures and connective tissue were observed in the specimens after fixation, paraffin embedding, and staining with hematoxylin-eosin. No other complications were observed except for 2 cases presenting cartilage warping after surgery. Conclusion: Application of the drilled ESGs is a simple but effective approach, which has 3 significant advantages in rhinoplasty: enhancing the stability of the cartilaginous framework through connective tissue ingrowth, preserving the septal cartilage, and providing septum vitality by allowing the formation of vascular structures between the perichondrium and the septal cartilage; reducing the probability of warping in early stages through release the tension force of the cartilage itself. Level of Evidence: Level IV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modified Drilled Extended Spreader Grafts in Asian Rhinoplasty: Clinical Application and Histopathological Analysis

Song

Zhang

et al. 2023

Journal of Craniofacial Surgery

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“…[2][3][4][5][6][7][8][9][10][11][12][13] Many modified SEGs have been developed, in particular by Asian authors, to reduce the amount of autologous cartilage needed, in particular using residual septal cartilage or conchal cartilage. 3 Among these variants, the end-to-end positioning of the graft, 14 the septal half extension graft, 15 or the diagonal extension graft 16 are smart ways to obtain excellent results with a small amount of cartilage.…”

Section: Discussionmentioning

confidence: 99%

The Caudal Septum Pivot Technique for Short Nose Correction

Marianetti¹,

Vellone

Angelis

et al. 2021

Facial Plast Surg

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The short nose represents one of the greatest challenges in rhinoplasty. It is characterized by a reduced distance from the nasal radix to the tip-defining points, often associated with inadequate tip projection. Several techniques have been described for correction of short nose with the common objective of replacing and rebuilding the osteocartilaginous framework. One of the most effective method to correct the short nose is the septal extension graft. The authors describe the caudal septum pivot (CSP) technique, a simple method to elongate short noses by using a graft inserted in the dorsal septum after its division using as pivot the caudal portion, without detaching it from its natural anchorage to the anterior nasal spine. A retrospective analysis was performed reviewing the clinical charts and the operative records of 315 patients who underwent revision rhinoplasty from January 2015 to June 2019; among this group, 34 were considered eligible for the study. The patients (8 men, 26 women; mean age: 25.4 years; age range: 22–53 years) were divided into two groups: in 12 patients (Group 1) the CSP technique was performed, while Group 2 was composed of 22 patients who received a more classic treatment with a septal extension graft. To evaluate the outcomes, nasal length, tip projection, and tip rotation were measured pre- and 1 year postoperatively on digital photographs of each patient. Nasal anthropometric measurements revealed, at 12-month visit follow-up, an improvement in nasal length, tip projection, and nasolabial angle was achieved in all the patients. The comparison of the pre- and postoperative values showed a statistically significant reduction in the nasolabial angle (p < 0.05) and an increase in the tip projection (p < 0.05) and in the nasal lengthening (p < 0.05) in both groups. In authors' experience, the CSP technique could be considered a safe, reliable, and effective alternative technique in selected patients.

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State of the Art in Secondary Cleft Rhinoplasty: Comprehensive Technical Details and Deformity-Specific Approach

Denadai¹,

2022

Current Concept in Cleft Surgery

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Biomechanical analysis of a modified suture technique for septal extension grafts: Transloop suture

Cited by 3 publications

References 23 publications

Modified Drilled Extended Spreader Grafts in Asian Rhinoplasty: Clinical Application and Histopathological Analysis

Modified Drilled Extended Spreader Grafts in Asian Rhinoplasty: Clinical Application and Histopathological Analysis

The Caudal Septum Pivot Technique for Short Nose Correction

State of the Art in Secondary Cleft Rhinoplasty: Comprehensive Technical Details and Deformity-Specific Approach

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