- ?? ??? ???

?? - ???(???) ??? ??? ??? Septal Spreader Graft? ???

(The Role of the Septal Extension Spreader Grafts in Correction of the Short Nose)?

?? : ???? ???? ?? ????? osteocartilage framework? ??? ??? ?? ?? ??? ?????. ???? ????? ?? ?? ? ??? ?? ?? ?? ??? ??? ??? ?? ??? ???, ?????? ?? ???? ?? ?? ????. ?? ??? ??? ?? ??? ????? ????? supporting framework? ????? ???, ??? ? ?? ??? upper lateral cartilage ? lower lateral cartilage ?? ??. ??? framework? ???? ????? ?????? ??? ??? ?? ?, ??? ?? ?????? ???? ???? extended spreader graft ??? ???? ? ??? ????? ??.?

?? : ???? 1998? 3??? 2004? 9??? 54?? ?? ? ??? ???? extended spreader graft? ?????. ??? extended spreader graft? ????spreader graft ?? ???? septal cartilage? caudal end? ?? ???? ??? ?????, ???? ?? ??? ?? posterior supporting ? ?? columellar strut graft? ???? tongue-in-groove ?? ?????.?

??? ??? ?? ? ?? ?? ?? ? 2~12???? ?? ?????.?

?? : septum? ???? lower lateral cartilage? ??? ????, ? ?? ??? ???? tip? caudal rotation? ?????, tip-projection? ??????, ????? ??? ???? ?????.

?

?????? ???? ??? ???? 2??? asymmetry ?? deviation? ???? ????? ?????. ??? ??? ????? 25?, vomer-ethmoid 11?, ???? 18? ??.?

?? : ??? ?????? ??? extended spreader graft? upper lateral cartilage? lower lateral cartilage ???? ????? nasal framework? ???? spaces ?? ?? ???? lower lateral cartilage? ????? tip rotation? projection ??? ??? ??? ??? ????? ??? ???? ???? ??? ??? ???? ??.

?