Auricular cartilage grafting and rhinoplasty and nasal reconstructionWhat is auricular cartilage grafting?Auricular cartilage grafting is taking cartilage from the ear to reconstruct the nose. Typically grafts are taken from the concha cymba and cavum of the ear (MARKED IN RED)...
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A plumping graft is placed at the nasolabial angle and is used to augment the area in or around the nasal spine. These grafts can make a long nose look shorter by an optical illusion. These grafts can be crushed cartilage,firm cartilage, or larger pieces of cartilage. Stiffer g...
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A composite graft is a combination of two materials, typically skin and cartilage. This graft is used in patients with alar retraction, where the nostril retracts. In some of these cases, the result of this is due to loss of tissue and cartilage, creating space for the nostril to...
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Dorsal augmentation grafts are used to augment the nasal dorsum. Autogenous substances are preferred over alloplastic materials (Dr. Shah does not use alloplastic materials).Septal cartilage can be layered to create moderate dorsal augmentation. In some cases, costal cartilage is...
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Radix grafts are grafts placed in the superior portion of the nose, aka where the nose meets the forehead. The purpose of radix grafts to change the angle that the dorsum so that it is not too low on the face. This allows for a longer more elegant nose in some instanc...
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Onlay grafts are grafts which are laid on top of an area. Theoretically, this graft can be placed anywhere within the nose. Most often this graft serves to augment an area which is deficient in cartilage which would otherwise cause a depression.When using an onlay graft it is i...
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Columellar struts are used to help support the nasal tip. Their use in rhinoplasty is for patients where projection is to be maintained or slightly projected.Columellar struts can be used with either an endonasal approach or external approach. The main disadvantage o...
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A Caudal Extension Graft is a versatile graft used in rhinoplasty. It serves as a fixed graft to the nasal septum and effectively adds size to a septum. It can be used in cases of deviation of the nose as well as in cases which require adjustment in length, projection, size and&n...
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Shield grafts are useful in patients lacking projection in the nasal tip lobule. The name shield is given due to the shape which is similar to a shield. There are a variety of other grafts which may serve a similar but distinct purpose such as a Peck graft.“The nose should...
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“The nose should fit the face”A strong jawline would suggest a stronger nose.Lateral crural strut grafts are grafts used in rhinoplasty to support the lateral crus. They are placed underneath the lower lateral cartilage in an effort to reshape or repositon the lower l...
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Spreader grafts are used to widen the middle vault of the nose. They are placed between the upper lateral cartilage and the dorsal septum. These grafts are useful in patients with narrow middle portion of the nose. These grafts can help open up the internal nasal...
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Alar rim grafts, also known as alar contour grafts, are grafts used in rhinoplasty to improve the triangularity of the nose. Grafts are placed in the most caudal aspect of the nasal ala in an effort to prevent a pinched nose appearance. The grafts are also helpful in improving t...
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