{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T23:46:17Z","timestamp":1778802377937,"version":"3.51.4"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T00:00:00Z","timestamp":1651449600000},"content-version":"vor","delay-in-days":3043,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:p>Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose. The success rate of this method has led to the blind faith that it provides superior tip projection and definition, and to the failure to notice its weaknesses. Even if there is a sufficient amount of cartilage, improper separation or fixation might waste the cartilage, resulting in an inefficient operation. Appropriate resection and effective fixation are essential factors for economical rhinoplasty. The septal extension graft is a remarkable procedure since it can control the nasal tip bidirectionally and three dimensionally. Nevertheless, it has a serious drawback since resection is responsible for septal weakness. Safe resection and firm reconstruction of the framework should be carried out. Operating on the basis of the principle of \"safe harvest\" and rebuilding the structures is important. Further, it is important to learn several techniques to manage septal weakness, insufficient cartilage quantity, and failure of the rigid frame during the surgery.<\/jats:p>","DOI":"10.5999\/aps.2014.41.1.19","type":"journal-article","created":{"date-parts":[[2014,1,28]],"date-time":"2014-01-28T08:11:39Z","timestamp":1390896699000},"page":"19-28","source":"Crossref","is-referenced-by-count":25,"title":["Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty"],"prefix":"10.1055","volume":"41","author":[{"given":"Jae Yong","family":"Jeong","sequence":"additional","affiliation":[{"name":"PLUS Aesthetic Surgery Clinic, Daejeon, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1097\/00006534-199709001-00026","article-title":"Septal extension grafts: a method of controlling tip projection shape","volume":"100","author":"HS Byrd","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"ref2","first-page":"1929","article-title":"Septal extension grafts revisited: 6-year experience in controlling nasal tip projection and shape","volume":"112","author":"RY Ha","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"2148","DOI":"10.1097\/00006534-199811000-00055","article-title":"Correction of the crooked nose","volume":"102","author":"HS Byrd","year":"1998","journal-title":"Plast Reconstr Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/00000637-199801000-00007","article-title":"Cartilaginous behavior in nasal surgery: a comparative observational study","volume":"40","author":"L C\u00e1rdenas-Camarena","year":"1998","journal-title":"Ann Plast Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1001\/archoto.2008.501","article-title":"Nasal growth and maturation age in adolescents: a systematic review","volume":"134","author":"P van der Heijden","year":"2008","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/S0003-9861(02)00263-1","article-title":"Age-related changes in the composition and mechanical properties of human nasal cartilage","volume":"403","author":"N Rotter","year":"2002","journal-title":"Arch Biochem Biophys"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.bjps.2006.03.055","article-title":"Correction of the nasal tip and columella in Koreans by a complete septal extension graft using an extensive harvesting technique","volume":"60","author":"JS Kim","year":"2007","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref8","first-page":"29","article-title":"The dimension of the septal cartilage using the cadaver study","volume":"12","author":"JS Kim","year":"2006","journal-title":"J Korean Soc Aesthetic Plast Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/SCS.0b013e3181c5a203","article-title":"Mapping thickness of nasal septal cartilage","volume":"21","author":"K Hwang","year":"2010","journal-title":"J Craniofac Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1177\/1090820X11424149","article-title":"The role of septal cartilage in rhinoplasty: cadaveric analysis and assessment of graft selection","volume":"31","author":"VD de Pochat","year":"2011","journal-title":"Aesthet Surg J"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"2171","DOI":"10.1097\/01.prs.0000218182.73780.d2","article-title":"Septal cartilage defined: implications for nasal dynamics and rhinoplasty","volume":"117","author":"A Mowlavi","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"ref12","volume-title":"Asian rhinoplasty","author":"MK Suh","year":"2012"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.1097\/MLG.0b013e3181255ec4","article-title":"Cadaveric and engineering analysis of the septal L-strut","volume":"117","author":"T Mau","year":"2007","journal-title":"Laryngoscope"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/00000637-200044020-00009","article-title":"Exploiting the septum for maximal tip control","volume":"44","author":"TJ Hubbard","year":"2000","journal-title":"Ann Plast Surg"},{"key":"ref15","first-page":"156","article-title":"Stabilization of unilateral septal extension graft using pivot locking Suture","volume":"14","author":"SH Oh","year":"2008","journal-title":"J Korean Soc Aesthetic Plast Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1097\/01.PRS.0000150145.39509.DB","article-title":"Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part I. 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