Structural approach to endonasal rhinoplasty.
The marriage of endonasal rhinoplasty with structural grafting has resulted in more consistent rhinoplasty results. The nasal base can be stabilized by tongue-in-groove techniques, a columellar strut, or extended columellar strut. The middle vault can be addressed with spreader grafts or butterfly grafts. Lower lateral cartilage weakness can be supported with alar batten grafts or repositioning of the lower lateral cartilages.
Shah
Anil R
AR
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University School of Medicine, New York, New York 10016, USA.
Miller
Philip J
PJ
D002356:Cartilage / Q000637:transplantation; D006801:Humans; D009296:Nasal Cavity / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D019736:Prostheses and Implants; D012225:Rhinoplasty / Q000379:methods*