{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:53:02Z","timestamp":1783702382603,"version":"3.55.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2019,10,13]],"date-time":"2019-10-13T00:00:00Z","timestamp":1570924800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>It is extremely difficult to obtain ideal tip projection and nose lengthening by septal extension graft using only septal cartilage in Asians, because their nasal septal and alar cartilages are small and weak. Therefore, we introduce a new septal extension graft using a cartilage\u2013bone complex with the vomer and the perpendicular plate of the ethmoid bone as well as cartilage to obtain optimal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Participants included 30 patients who underwent surgery by external approach. The septal cartilage, vomer, and perpendicular plate of the ethmoid bone harvested by septoplasty were used. There were 2 layers of cartilage on each side and bone in between to create a strong cartilage\u2013bone complex for projection and lengthening. The bony portion was placed in the tip side, and the double-layered cartilage portion was placed in the inferior portion of the caudal septum of the L-strut to create powerful fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were statistically significant improvements in nasal length (4.71 \u00b1 0.65 vs 5.15 \u00b1 0.53 cm, P value &lt;.0001), tip projection (2.66 \u00b1 0.40 vs 3.18 \u00b1 0.42, P value &lt;.0001), and nasolabial angle (94.0\u00b0 \u00b1 9.3\u00b0 vs 107.2\u00b0 \u00b1 9.6\u00b0, P value &lt;.0001) postoperatively. All patients were subjectively satisfied, and 2 different surgeons had excellent or good opinions in 28 (94%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The sandwich technique using cartilage and bone complex results in satisfactory outcomes with stronger tip support, especially in Asians with a weak nasal tip who desire ideal tip projection and dramatic change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145561319881570","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T01:20:27Z","timestamp":1571016027000},"page":"599-604","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["New Technique in Nasal Tip Plasty: Sandwich Technique Using Cartilage and Septal Bone Complex"],"prefix":"10.1177","volume":"99","author":[{"given":"Tae Hwan","family":"Ahn","sequence":"first","affiliation":[{"name":"Fresh Facial Aesthetic Surgery and ENT Clinic, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The First Hospital of Jilin University, Chang Chun, People\u2019s Republic of China"},{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, Hanyang University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Jeong","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, Hanyang University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8335-0441","authenticated-orcid":false,"given":"Byung Joon","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, Hanyang University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Ho","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, Hanyang University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Hyeok","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, Hanyang University School of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,13]]},"reference":[{"key":"bibr1-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2004.00891.x"},{"key":"bibr2-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000095439.98488.e6"},{"key":"bibr3-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181d59f95"},{"key":"bibr4-0145561319881570","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2014.41.1.3"},{"key":"bibr5-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2013.2379"},{"key":"bibr6-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001107"},{"key":"bibr7-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1564820"},{"key":"bibr8-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2014.1370"},{"key":"bibr9-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318254b460"},{"key":"bibr10-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000016"},{"key":"bibr11-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000274"},{"key":"bibr12-0145561319881570","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2014.41.1.29"},{"key":"bibr13-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-012-9945-7"},{"key":"bibr14-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-016-0741-7"},{"key":"bibr15-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199709001-00026"},{"key":"bibr16-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X12473105"},{"key":"bibr17-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000199153.26947.5e"},{"key":"bibr18-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182468084"},{"key":"bibr19-0145561319881570","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001227"},{"issue":"4","key":"bibr20-0145561319881570","first-page":"233","volume":"3","author":"Peer 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