title: Septal Cartilage/Ethmoid Bone Composite Graft: A New and Improved Method for the Correction Underdeveloped Nasal Septum in Patients with Short Noses.
abstract: BACKGROUND
  Septal extension grafts are an effective means of extending nasal length in patients with a short nose. However, such grafts can be challenging in patients who only have small quantities of weak septal cartilage, such as some East Asian patients. We developed a rhinoplasty technique using ethmoid bone to create a cartilage-bone complex to overcome this issue, allowing adequate nasal lengthening.
  
  
  METHODS
  Sixty-four women with short noses and inadequate septal cartilage determined by preoperative computed tomography underwent septal extension grafting with a cartilage-bone complex between January 2009 and December 2014. Septal cartilage and ethmoid bone were harvested during open rhinoplasty and secured to the septal cartilage.
  
  
  RESULTS
  Most patients were in their twenties or thirties. All patients underwent septal extension grafting using a cartilage-bone complex and dorsal augmentation with silicone implants. Short nasal length, decreased nasolabial angle and increased nostril show, were rectified. There was no recurrence during a mean follow-up period of 12.3 months, although one patient (1.5%) requested revision surgery.
  
  
  CONCLUSIONS
  Septal extension grafting with a cartilage-bone complex can be used to correct a short nose, especially in Asians who have relatively small amounts of septal cartilage. The ethmoid bone augments the inadequate septum and provides structural support.
  
  
  METHODS
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authors.affiliation: Department of Plastic and Reconstructive Surgery, Inje University Ilsan Baek Hospital, Inje University College of Medicine, Goyang-Si, Republic of Korea.|Migo Aesthethic Surgical Clinic, 838 Nonhyeon-ro, Gangnam-gu, Seoul, 06025, Republic of Korea.
authors.forename: Soo Hyang
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Department of Plastic and Reconstructive Surgery, Inje University Ilsan Baek Hospital, Inje University College of Medicine, Goyang-Si, Republic of Korea.|Migo Aesthethic Surgical Clinic, 838 Nonhyeon-ro, Gangnam-gu, Seoul, 06025, Republic of Korea.
authors.forename: Mun Geun
authors.initials: MG
authors.lastname: Koo
authors.affiliation: Department of Plastic and Reconstructive Surgery, Inje University Ilsan Baek Hospital, Inje University College of Medicine, Goyang-Si, Republic of Korea. migobeauty@gmail.com.|Migo Aesthethic Surgical Clinic, 838 Nonhyeon-ro, Gangnam-gu, Seoul, 06025, Republic of Korea. migobeauty@gmail.com.
authors.forename: Eun Taek
authors.initials: ET
authors.lastname: Kang
mesh_terms: D000328:Adult; D064592:Autografts; D005004:Ethmoid Bone / Q000637:transplantation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D055171:Nasal Cartilages / Q000637:transplantation*; D009666:Nose / Q000601:surgery*; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods*; D012828:Silicones; D013536:Suture Techniques; D014182:Transplantation, Autologous; D055815:Young Adult
chemical_list: D012828:Silicones
keywords: Cartilage–bone complex; Ethmoid bone; Rhinoplasty; Septal cartilage; Septal extension graft; Short nose