비중격 Nasal Septum

[BACKGROUND] The most critical exam components in patients seeking rhinoplasty have not been established. [OBJECTIVE] To identify concordance among experienced rhinoplasty surgeons regarding the most important exam features for various def…

[BACKGROUND] Short nose correction in Asian rhinoplasty is challenging due to weak septal cartilage, thick skin envelopes, and strong postoperative contractile forces that compromise long-term tip stability. [OBJECTIVES] This study aimed t…

Achieving durable nasal tip stabilization remains a central challenge in septorhinoplasty, particularly in patients with weak cartilage support or significant dorsal septal deviation. Conventional septal extension grafts and suspension-base…

Septal extension grafts (SEG) are widely used to control nasal tip projection and rotation. However, traditional side-to-side fixation may increase graft bulk within the nasal cavity and carries a risk of deviation. The slit extension graft…

[BACKGROUND] Lower-eyelid surgery by means of the transcutaneous approach is challenging because of common complications such as ectropion and scleral show. [METHODS] The authors devised a transcutaneous lower-eyelid technique that incorpo…

[BACKGROUND] Lower blepharoplasty has shifted from fat resection to preservation by means of repositioning, yet severe fat herniation still requires selective excision. Traditional resection may compromise transposition. This study introduc…

[OBJECTIVE] To analyze the clinical effect of endoscopy-assisted functional rhinoplasty. [METHODS] Endoscopy-assisted functional rhinoplasty was performed in all patients. Deviated nasal septum was corrected, nasal septum cartilage graft w…

[BACKGROUND] To enhance nasal symmetry, septal cartilage can be used as an alar rim graft on the cleft side during primary rhinoplasty. Short-term results have been favorable, but the long-term results are unclear. The authors compare nasal…

[BACKGROUND] Before primary rhinoplasty, it is crucial to identify patients whose concerns may not be adequately addressed by surgery. In 1999, Gorney and Martello introduced SIMON to describe patients who may be unsatisfied: single, immatu…

[BACKGROUND] Caudal septal deviation poses a significant challenge in rhinoplasty, affecting both nasal airflow and aesthetic balance. While various techniques such as scoring, swinging door, and batten grafting have been used, many fail to…

[BACKGROUND] Lengthening a short nose using costal cartilage is common in primary and revision rhinoplasty but has drawbacks, including complexity, two surgical sites, and high complication rates. We present an alternative technique using o…

[BACKGROUND] Due to the inherent fragility of septal and auricular cartilage, insufficient graft availability during surgery, and technical limitations in nasal tip framework construction, we modified the cartilage harvesting techniques and…

[BACKGROUND] Bulbous nasal tip surgery due to lateral-crural pseudo-malposition in medium-to-thick skin with weak cartilage is often challenging. Suture-only maneuvers may not reliably maintain the lateral-crural resting angle in such anato…

[BACKGROUND] Ideal tip projection and rotation in rhinoplasty often requires placement of caudal septal extension grafts (CSEGs). Although CSEGs are ubiquitous in rhinoplasty, there remains a lack of consensus on how laterality of placement…

[BACKGROUND] Saddle nose deformity caused by disruption of the keystone area remains surgically challenging. We developed a septum suspension technique using a rib bone cantilever graft to restore keystone continuity and improve airflow. […

[BACKGROUND] Rhinoplasty outcomes are heavily influenced by nasal tip anatomy, particularly the thickness of the soft tissue envelope (STE) and the underlying cartilaginous framework. Traditional assessment methods are subjective, prompting…

The authors illustrate a unique case of total nasal reconstruction that successfully combined historical reconstructive techniques with modern microsurgery, supported by artificial intelligence-assisted operative planning. The patient prese…

[BACKGROUND] Dorsal preservation techniques balance hump reduction with mid-vault support. Foundation techniques (impaction) lower the dorsal hump without reshaping it, whereas surface modulation can compromise vault support. We propose an …

Fixation of quadrangular septal cartilage is a basic step in low-septal-resection dorsal preservation rhinoplasty. The most commonly used technique for this purpose is the fixation of the septum with a suture to the anterior nasal spine. Th…

The footplates of the medial crura are relevant structures that play an important role in the columella and nostril sill design. They also work as a connection between the nasal and oral muscles, as the insertion of the superficial orbicula…