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Saddle Nose Deformity: Composite Reconstruction - Catalog 1073

Recorded On: 01/01/2005

Saddle nose is one of the most challenging deformities in all of rhinoplasty surgery, especially when all structures are involved including a large septal perforation. A new approach, "composite reconstruction" is illustrated. Harvesting of rib cartilage is shown in step-by-step detail. The deeper "foundation layer" is constructed to provide support through the innovative use of spreader grafts and a true "septal" strut. The outer "aesthetic layer" consists of a columellar strut and tip graft plus diced cartilage in a fascia dorsal graft. Support of the collapsed alar rims is achieved with large lateral rim grafts.

Rollin Daniel

MD

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Saddle Nose Deformity: Composite Reconstruction
Recorded 01/01/2005
Recorded 01/01/2005 Saddle nose is one of the most challenging deformities in all of rhinoplasty surgery, especially when all structures are involved including a large septal perforation. A new approach, "composite reconstruction" is illustrated. Harvesting of rib cartilage is shown in step-by-step detail. The deeper "foundation layer" is constructed to provide support through the innovative use of spreader grafts and a true "septal" strut. The outer "aesthetic layer" consists of a columellar strut and tip graft plus diced cartilage in a fascia dorsal graft. Support of the collapsed alar rims is achieved with large lateral rim grafts.