Clinical trial NCT02224001: A New Concept in the Tip Plasty of Asian Rhinoplasty
Official title: A New Concept in the Tip Plasty of Asian Rhinoplasty : The Flag Technique by Use of Only A Septal Cartilage Without Septal Extension Grafts
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Asian Rhinoplasty
Keywords: tip plasty
septal cartilage
Lead sponsor: Winners Clinic
Sponsor class: OTHER
First posted: 2014-08-22
Enrollment: 161
Sex: ALL
Minimum age (years): 17
Maximum age (years): 74
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: For achieving the desired refinements in Asian patients, sufficient septal cartilage must be needed for the ieal tip projection and lengthening of the nose by the septal extension graft, columellar septal strut graft, and onlay tip graft, shield graft. Actually there are many cases having insufficient septal cartilages in Asian augmentation rhinoplasty.

The investigators propose the new technique, so called 'Flag Technique' by a tip-strut complex in a flag-like shape : using only the septal cartilage as an elongated columellar septal strut graft, a shield graft , bilateral mini-spreader grafts of the upper part in the elongated columellar septal strut graft without the septal extension graft to achieve the desired the result.

Detailed description: The investigators propose the new technique, so called 'Flag Technique' by a tip-strut complex in a flag-like shape : using only the septal cartilage as an elongated columellar septal strut graft, a shield graft , bilateral mini-spreader grafts of the upper part in the elongated columellar septal strut graft without the septal extension graft to achieve the desired the result.

Eligibility criteria: Inclusion Criteria:

* primary case
* secondary case

Exclusion Criteria:

* septal cartilage harvested state
* congenital anomaly in septal cartilage

Primary outcomes:
measure: Number of Participants with Serious and Non-Serious Adverse Events
timeFrame: six months
Secondary outcomes:
Other outcomes:
Locations:
city: Gangnamgu
country: Korea, Republic of
facility: The Department of Plastic Surgery, Winners Clinic
state: Seoul
Study officials:
affiliation: Winners Clinic
name: CHEOLHWAN KIM, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 1.Toriumi, D.M. Augmentation rhinoplasty with autologous cartilage grafting. In Park JI, Toriumi, D.M., eds. Asian Facial Cosmetic Surgery. Philadelphia: Saunders-Elsvier, 2007. 2.Toriumi, D.M. Autologous grafts are worth the extra time. Arch Otolaryngol Head Neck Surg 126:562-564, 2000. 3.Toriumi, D.M., DeRosa J. The Asian nose. In R. J. Rohrich, W. P. Jr. Adams, and J. Ahmad, J. P. Gunter (Eds.), Dallas Rhinoplasty: Nasal Surgery by the Masters, Vol 2, 3rd Ed. St. Louise: Quality Medical, 2014. Pp. 1226-1229. 4.Byrd , H.S., Burt, J.D., Andochick, S., et al. Septal extension grafts: a method for controlling tip projection and shape. Plast Reconstr Surg 100:999-1010, 1997. 5.Rohrich R.J., Kurkjian T.J., Hoxworth R.E., et al. The effect of the columellar strut graft on the nasal tip position in primary rhinoplasty. Plast Reconstr Surg 130:926-932, 2012. Erratum in Plast Reconstr Surg 130:1399, 2012.