hybrid septal extension graft for short nose correction
TRANSCRIPT
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Man Koon Suh, M.D.
How to overcome troublesome obstacle in How to overcome troublesome obstacle in Asian short nose:Asian short nose:
Hybrid Septal Extension GraftHybrid Septal Extension Graft
JW Plastic Surgery Center, Seoul, Korea
AMERICAN SOCIETY OF PLASTIC SURGEONS PLASTIC SURGERY 2013
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Septal extension graft
<Extended spreader type>
<Batten type>
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small septal cartilage
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Autogenous rib cartilage
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Hybrid septal extension graft
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Methods
Septal cartilage
IHCC orear cartilage
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IHCC
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IHCC
septal cartilage
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caudal septum
IHCC
septal cartilage graft
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septal cartilage conchal cartilage
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conchal cartilage
Septal cartilage
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Periods: Feb. 2010 ~ Mar. 2013
Cases:57(Primary cases: 42 / Secondary contracted cases: 15)
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Results
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Nasal lengthening:3mm ~ 10mm
Complications:0 - infection: 0 - resorption: 0 - warping: 0 - asymmetric tip and columella: 0 Revision: 3 - 2 cases: too long tip - 1 case: low tip
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caudal septum
IHCC
septal cartilage graftIHCC
septal cartilage
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<POD #5 months>
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<Preop> <Postop>
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<Preop> <Postop>
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<Preop> <Postop>
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<Preop> <POD #1 yr>
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<Preop> <POD #1 yr>
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Advantages of hybrid septal extension graft
1. Even small septal cartilage can be utilized2. Can avoid donor site morbidity from use of ….autogenous rib cartilage3. Compared to IHCC use alone - Tip is more mobile - Deformity is much smaller in case IHCC is resorbed unexpectedly
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-
A very small septal cartilage, the most common obstacle of Asian short nose correction,
can be overcome by:
hybrid septal extension grafthybrid septal extension graft
Conclusion
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Thank you