2010年10月20日 · The columellar strut is a small cartilaginous graft harvested from the inside of the nose and is used to prop up a very droopy nasal tip. It is one small technique in a variety of procedures to try and bolster nasal tip projection and prevent sagging.

2016年6月7日 · I had fabricated the columellar strut graft 28 x 3 x 1.5 mm and 2 internal valve spreader grafts, there were 12 x 2 x 1 mm. When septoplasty was completed, then I dissected subperichondrial pocket and spreader grafts are placed in internal valve and subperichondrial secured in place with 5-0 PDS stitches.

2016年3月19日 · Hello,The columellar strut is an 'interposition' graft that is sutured between the two medial crura of the tip cartilages, which occupy the portion of the nose called the columella. This part of your nose is not securely fastened to any non-moving, stable parts of your nose or face like septum or maxillary bone.

2021年8月16日 · A columellar strut is extremely useful to maintain desired tip projection during healing process. A septal extension graft does as well. Removing a strut will likely result in loss of tip projection as causing bowling or hanging of the columella. A better approach to removing would be to adjust with changing position of graft or adding more graft.

2016年8月9日 · A columellar strut graft should not move. These grafts are an excellent way to give projection, but they should stay in place. If your graft is moving, it is not sewn in sturdily. This could be revised, more than likely without decreasing projection.

2014年11月18日 · He removes sufficient autograft material and closes the wound. To repair a saddle nose deformity, he carves the rib graft into two pieces, a dorsal graft and a columellar strut, which are interdigitated, or interlocked, to recreate an intact L shaped strut, which provides the normal shape of the nose.

2024年5月6日 · The most common reason for removing a columella strut graft is malposition. In fact, they may be removed and replaced in a more favorable position. These grafts are the size of a match stick and are used to add structural support to somebody's nasal tip during surgery. The feasibility of removing your graft would require an examination.

2016年8月28日 · Unfortunately, the clicking sensation you describe can occur after columellar strut placement and is a result of the lower part of the strut (at the base of your columella) sliding against the anterior nasal spine. This may improve with time as the complete healing process after a rhinoplasty can take up to 1 year.

2022年12月10日 · In general, the placement of a columellar strut graft is determined during a physical examination. One finger is placed under your mid tip lip, and the other hand moves the nasal columella right to left. Swelling at the nasal base is common 6 months postop. Best to get reassurance from your surgeon. Hope this helps! Dr Joseph

2011年3月19日 · A dorsal rib cartilage/perichondrium graft. 2. Spreader grafts. 3. A columellar strut to correct a droopy, under-projected tip. My nose has a hump, is stiff, feels over-grafted, over-projected. I am dissatisfied with the aesthetics. My tip is also hard as a rock from the strut and very painful.