A New Graft Technique For Rhinoplasty: Modified One-Piece Nasal Cap With Alar Strut Graft

Abstract

Objectives: This study was aimed to evaluate the effectiveness of the new graft technique-modified one-piece nasal cap with alar strut graft in rhinoplasty; both for aesthetical appearance and nasal functions. Methods: Forty-two patients, who underwent primary rhinoplasty operation with the new graft technique, were evaluated visually by photographing and functionally by the Cottle test and rhinomanometry measurement. Results: All of the patients had sufficient nasal vision; also nasal valve angles became wider and Cottle tests were negative in all patients after surgery. Postoperative nasal airflow values (both left and right) were significantly higher, and airway resistance (left, right, and total) values were significantly lower than preoperative values. Conclusion: With the new graft technique, the authors obtained both satisfying aesthetic results and intended functional improvement. This technique may be an alternative to combination of multiple graft techniques; with advantages of practical performing and less complication risks.