{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T23:45:20Z","timestamp":1775519120226,"version":"3.50.1"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Septal extension grafts (SEG) are widely used to control nasal tip projection and rotation. However, traditional side-to-side fixation may increase graft bulk within the nasal cavity and carries a risk of deviation. The slit extension graft is a modification designed to centralize fixation within the caudal septum while reducing intranasal volume and improving mechanical stability.<\/jats:p>\n                  <jats:p>To describe the slit extension graft technique and evaluate its structural and angular outcomes in primary rhinoplasty.<\/jats:p>\n                  <jats:p>A retrospective case series of six patients using the PROCESS guideline.<\/jats:p>\n                  <jats:p>The patients underwent primary rhinoplasty with slit SEG fixation between July 2017 and May 2022. Preoperative and 12-month postoperative nasolabial angles were measured using standardized true lateral photographs aligned to the Frankfort horizontal plane. A paired t-test was used for statistical comparison.<\/jats:p>\n                  <jats:p>The slit extension graft provides centralized fixation with measurable angular control and stable outcomes at 1 year. Larger prospective studies are warranted to confirm reproducibility and functional implications.<\/jats:p>","DOI":"10.1055\/a-2841-9663","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:22:09Z","timestamp":1774570929000},"source":"Crossref","is-referenced-by-count":0,"title":["The Slit Septal Extension Graft: A Technical Modification for Midline Fixation in Structured Rhinoplasty"],"prefix":"10.1055","author":[{"given":"Jos\u00e9 L.","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery, Ophthalmology, and Otorhinolaryngology Department, S\u00e3o Paulo University (USP), S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor C.","family":"Santos","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery, Ophthalmology, and Otorhinolaryngology Department, S\u00e3o Paulo University (USP), S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3144-5331","authenticated-orcid":false,"given":"Rafael","family":"Porpino","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery, Ophthalmology, and Otorhinolaryngology Department, S\u00e3o Paulo University (USP), S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3708-927X","authenticated-orcid":false,"given":"Jos\u00e9 C. M.","family":"Neves","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery, My Face Clinic, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rooney W. M.","family":"Viana","sequence":"additional","affiliation":[{"name":"Rooney Viana Institute, Private Clinic, Manaus, Amazonas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid H.","family":"Ciancio","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery, Ophthalmology, and Otorhinolaryngology Department, S\u00e3o Paulo University (USP), S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos A.","family":"Caropreso","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery, Ophthalmology, and Otorhinolaryngology Department, S\u00e3o Paulo University (USP), S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S1043-1810(05)80008-9","article-title":"Caudal septal 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Surg"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1007\/s00266-013-0141-1","article-title":"Comparison of the effects of columellar strut and septal extension grafts for tip support in rhinoplasty","volume":"37","author":"A M Akkus","year":"2013","journal-title":"Aesthetic Plast Surg"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"772e","DOI":"10.1097\/PRS.0000000000006178","article-title":"Control of nasal tip position: quantitative assessment of columellar strut versus caudal septal extension graft","volume":"144","author":"R Sawh-Martinez","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1007\/s00266-021-02397-y","article-title":"Effect of septal extension graft on creating and maintaining tip rotation in tongue-in-groove technique: a case control study","volume":"46","author":"A K Sazgar","year":"2022","journal-title":"Aesthetic Plast Surg"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1007\/s00266-016-0741-7","article-title":"Septal cartilage\/ethmoid bone composite graft: a new and improved method for the correction underdeveloped nasal septum in patients with short noses","volume":"41","author":"S H Lee","year":"2017","journal-title":"Aesthetic Plast Surg"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1007\/s00266-018-1219-6","article-title":"Nasal elongation with septal half extension graft: modification of conventional septal extension graft using minimal septal cartilage","volume":"42","author":"S H Lee","year":"2018","journal-title":"Aesthetic Plast Surg"},{"issue":"03","key":"ref16","first-page":"e383","article-title":"The horn technique for nasal tip support in rhinoplasty","volume":"25","author":"L CM Barboza","year":"2020","journal-title":"Int Arch 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