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Rhinoplasty (Part 7) Palpation. Review extranasal

SPREADER Grafts - Rhinoplasty CLOSED

Before the end of surgery is appropriate for the last maneuvers.

Septum

Controlled,

• if it was manipulated to obtain graft and remains "in situ" an "L" of the septum, which is structure that keeps the nasal framework.

• If your edge excessively protruding above the upper lip and columella angle - formed is very sharp lip is resected a few millimeters of the edge to restore the columella-labial angle and sharp corner should be removed and again obtuse blunt.
  
• If the columella-labial angle is very obtuse, open, due to a deep interior nasal spine is necessary to dry the spine to normalize the angle.
  

• Finally, before transfixing suture, the strut is placed in the tip-columella junction and / or membranous septum cartilaginous pillar ( subseptum)
  
  

  

• and spead grafts on each side, to reconstruct the internal nasal valve, placed in the space between the upper edge of septum and the space was withdrawn triangular strip of cartilage, either placed along the top edge to outline the back septal cartilage.