May 1, 2016 · The L-strut is the portion of the septal cartilage that remains after a submucous resection of the deviated portions of the cartilaginous and bony nasal septum. It provide support to the tip of the nose as well as the nasal dorsum and columella.

A 1-cm-wide L-strut is vital for safety and stability during moderate resection of the septal cartilage. Our FEM results indicate that L-strut stress and displacement distributions depending on contact percentage and load conditions can cause severe deformation or collapse of the L-strut.

Nov 2, 2023 · When septal cartilage, efforts are made to preserve an L-strut (1-1.5cm) to help avoid nasal saddling. Additionally, exercise caution if removing part of the ethmoid bone which is connected to the skull base and can extend a fracture superiorly

In septal surgery, the surgeon preserves the L-strut, the portion anterior to a vertical line drawn from the rhinion to the anterior nasal spine (ANS) and at least a 1-cm width of the dorsal and caudal septal segment, to decrease the potential for loss of the tip and dorsal nasal support.

We offer the best natural nose job and plastic surgery in Beverly Hills, Los Angeles, Las Vegas, San Diego, San Francisco and the whole CA. The remaining structure after the central portion of the cartilage has been removed. A strong L-strut is the goal in …

The L‐strut reconstruction was performed by connecting the periosteal tissue of the anterior nasal spine and center of the L‐strut with a 5‐0 polydioxanone suture to correct the caudal and high dorsal septal deviation.

Jan 10, 2020 · To correct C-shaped convexity or acute angulations of the caudal septum, caudal L-strut can be incised and repaired with overlapping sutures 18 (video 3). When overlapping the cartilages, the surgeon must be cautious not to make the new height of the caudal septum shorter than its original height.

An intraoperative fracture of the septal L-strut is a rare but unfortunate occurrence during rhinoplasty. Although technically difficult to perform, the percutaneous Kirschner wire fixation technique with or without spreader grafts is a novel and effective approach to this complication.

Jan 12, 2011 · The term L strut can refer to the specific area in the quadrangular cartilage region that remains after septal cartilage is removed from the area normally for grafting purposes. It can also refer to a synthetic L shaped implant.

Mar 3, 2010 · If these conservative measures do not do the trick, then a formal functional septorhinoplasty should be considered employing structural grafting. These techniques may include a columellar strut, caudal septal extension graft, extracorporeal septoplasty, or a combination of these techniques.