Hüseyin Balikci, Alper Yenigun, Emre Polat, Remzi Dogan, Orhan Ozturan
{"title":"The Shield-Like Septal Extension Graft: A Novel Technique for Nasal Tip Management in Revision Rhinoplasty.","authors":"Hüseyin Balikci, Alper Yenigun, Emre Polat, Remzi Dogan, Orhan Ozturan","doi":"10.1016/j.joms.2025.05.005","DOIUrl":null,"url":null,"abstract":"<p><p>This study introduces the shield-like septal extension graft technique, a novel approach for enhancing tip support, rotation, and projection in revision rhinoplasty cases. The shield-like septal extension graft is positioned in front of the caudal septum, mimicking a shield graft to provide structural reinforcement. The study included 18 patients (12 women and 6 men) with a median follow-up of 12 months (interquartile range: 9 to 15 months). No significant complications were observed, and patients achieved satisfactory aesthetic and functional outcomes. This technique offers a reliable and reproducible solution for managing complex revision rhinoplasty cases by providing superior tip stability, midline alignment, and long-term structural support. The use of costal cartilage ensures sufficient strength, especially in patients with structural deficiencies or thick skin.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral and Maxillofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.joms.2025.05.005","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
This study introduces the shield-like septal extension graft technique, a novel approach for enhancing tip support, rotation, and projection in revision rhinoplasty cases. The shield-like septal extension graft is positioned in front of the caudal septum, mimicking a shield graft to provide structural reinforcement. The study included 18 patients (12 women and 6 men) with a median follow-up of 12 months (interquartile range: 9 to 15 months). No significant complications were observed, and patients achieved satisfactory aesthetic and functional outcomes. This technique offers a reliable and reproducible solution for managing complex revision rhinoplasty cases by providing superior tip stability, midline alignment, and long-term structural support. The use of costal cartilage ensures sufficient strength, especially in patients with structural deficiencies or thick skin.
期刊介绍：
This monthly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments and diagnostic equipment and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
