| Objective:To explore more satisfactory results in correcting the aesthetically short nose combined with low and blunt nasal tip with autologous cartilage grafts.Methods:External rhinoplasty approach is preferred. We have adopted patients' nasal septal cartilage and auricular cartilage or rib cartilage when it was necessary, and carved them to various grafts such as septal extention graft, columella strut and shift graft et al. Then we have used these autologous cartilage grafts with suture and removal techniques to correct the aesthetically short nose combined with low and blunt nasal tip. We also have measured the length of the nose (n-prn) and the projection of the nasal tip (sn-prn) before and after the operation. Paired t-test was adopted to evaluate the result.Results:Thirty one patients accepted nasal tip rhinoplasty with autologous cartilage whose nasal tip was over rotation, blunt and low. All patients were followed up for 3 months. Thirty patients have satisfied with the results, making up 96.7 percent of the total. One patient has dissatisfied with the result because of postoperative asymmetry nostrils, making up 3.3 percent of the total. Nose length before and after surgery were significantly different (p<0.05). Nasal tip projection before and after surgery were significantly different (p<0.05).Conclusion:It is an effective method to use autologous cartilage graft to correct the aesthetically short nose combined with low and blunt nasal tip with low complications. |
