LEGENDS
Figure 1.
Picture of the T-graft, the dimensions are indicated in mm. Different parts of the T-graft:
✻ : septal batten or - extension, depending on the position of the T- graft.
✻✻ : strut element to determine the position of the domes of the lower lateral cartilages.
✻✻✻ : spreader like extension.
Figure 2 a-c.
Schematic drawings of the surgical steps. a) The T-graft is moved in cephalic- caudal direction to determine the optimal balance of the nose regarding nasal length and nasal tip projection. b) The T-graft is suture fixated to the caudal septum, sutures are indicated by black dots. c) The lower lateral cartilages are fixated to the T-graft with 2-3 tongue-in-groove sutures.
Figure 3.
Per-operative picture, open approach rhinoplasty. In this case the T-graft is positioned as a septal extension graft. White dashed lines indicate the dimensions of the T-graft. Note the short caudal margin of the cartilaginous septum (1). The next surgical step is tongue-in-groove fixation of the lower lateral cartilages. The domes (2) will be sutured to the strut element (✻✻) of the T-graft.