Columellar strut using autologous cartilage
by Rajib Dasgupta Yadav, Rajib Guy Kenyon

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
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Columellar struts of autologous cartilage can be used to improve tip support and projection. A rectangular piece of autologous cartilage is sutured between the medial crura of the lower lateral cartilages. This can be affected through a transfixion incision as part of an endonasal approach, or insertion through an ‘open’ approach. They also help is straightening the caudal septum and medial crura of the lower lateral cartilages. The procedure is performed by dissecting a pocket between the soft tissue that lies between the medial crura to house the strut of cartilage, which then sits above and in the plane of the anterior nasal spine. The strut is secured with sutures.

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