Cheon Namju
Chiu Plastic Surgery Clinic, 9th floor, KBL center, 110, Dosan-daero, Gangnam-gu, Seoul, Republic of Korea.
Aesthetic Plast Surg. 2025 Feb;49(4):1080-1082. doi: 10.1007/s00266-024-04324-3. Epub 2024 Aug 14.
Septal extension grafts (SEGs) can increase projection. However, it requires a large amount of graft and can result in a frozen tip. Thus, this study introduces a modified SEG, called a partial SEG. Partial SEGs minimize the amount of graft material requirement, avoid the occurrence of frozen tips, and increase nasal tip projection. This method is comparable to the fixed-mobile SEG (Rohrich et al. in Plast Reconstr Surg 149: 1350-1356, 2022) and anterior nasal septal angle (ANSA) banner (Neves and Tagle in Ann Plast Reconstr Surg 4(3): 1059, 2020); however, unlike those techniques, the tip is not sutured to the graft and the alar complex is not fixed, allowing free movement of the nasal tip within its anatomical limits. To further prevent long-term displacement or minimize loss of nasal tip projection, a method of fixing the graft with Prolene and a third end-to-end SEG method for preventing sliding between grafts were used, which was also effective. Among the patients who underwent surgery between September 2019 and September 2023, 238 were followed up for over 6 months. Most patients were satisfied with the natural and flexible nature of the nasal tip. In conclusion, the alar wrap around a slender SEG technique can be an option for who want a flexible nasal tip that is projected adequately rather than excessively.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
鼻中隔延伸移植片（SEG）可增加鼻尖突出度。然而，它需要大量的移植材料，并且可能导致鼻尖僵硬。因此，本研究引入了一种改良的SEG，称为部分SEG。部分SEG可将所需移植材料的量减至最少，避免鼻尖僵硬的发生，并增加鼻尖突出度。该方法与固定-活动式SEG（Rohrich等人，《整形与重建外科》，第149卷：1350 - 1356页，2022年）和前鼻中隔角（ANSA）瓣（Neves和Tagle，《整形与重建外科年鉴》，第4卷第3期：1059页，2020年）相当；然而，与那些技术不同的是，鼻尖不缝合至移植片，鼻翼复合体也不固定，从而使鼻尖在其解剖学限度内能够自由移动。为了进一步防止长期移位或尽量减少鼻尖突出度的丧失，采用了用聚丙烯缝线固定移植片的方法以及防止移植片之间滑动的第三种端端SEG方法，这也很有效。在2019年9月至2023年9月接受手术的患者中，238例进行了超过6个月的随访。大多数患者对鼻尖自然且灵活的特性感到满意。总之，对于那些想要一个突出适度而非过度突出且灵活的鼻尖的人来说，环绕细长SEG的鼻翼包裹技术可以是一种选择。证据等级IV 本期刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南 www.springer.com/00266 。
