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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제10호
발행연도
2005.1
수록면
1,219 - 1,223 (5page)

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Background and Objectives:Nasal tip plasty is one of the most important and difficult part of rhinoplasty. Controlling the projection, shape and rotation of nasal tip is a difficult procedure especially in Asians who have a thick skin and weak cartilages. The purpose of our study is to investigate the usefulness of septal extension graft (SEG) in controlling the tip shape. Subjects and Method:We retrospectively studied 20 patients who underwent rhinoplasty including tip surgery with SEG. Five patients were operated by transcolumellar open approach and 15 patients by intranasal approach. Columellar strut was used together with SEG in all patients to control the tip projection. The result of surgery was evaluated by comparing nasal measurements on photographs taken preoperatively and postoperatively. Doctors and patients satisfaction were investigated after minimal 6 months later using visual analogue scale. All results were statistically tested. Results:The increment of tip projection was 10% in males and 5% in females and the increment of nasolabial angle were 4.4°in males and 8.1°in females. Most of the patients showed prominent tip projection and good cosmetic results. However, some patients complained indurations of upper caudal septum. Conclusion:SEGs are a reliable method of controlling tip projection and rotation in patients who need prominent tip projection

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