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Professional Technical IVT

columellar strut graft

Pronunciation: koh-luh-MEL-er strut graft

A cartilage graft placed between the medial crura of the nose to provide structural support and projection to the nasal tip.

Full Definition

A columellar strut graft is a structural cartilage graft, typically harvested from the nasal septum or ear, that is positioned between the medial crura of the lower lateral cartilages in the columella. This graft provides enhanced tip projection, support, and stability, particularly in cases of weak or malpositioned medial crura. The strut graft is secured with sutures and helps maintain long-term nasal tip projection while providing a stable foundation for other tip-shaping techniques. This technique is commonly used in revision rhinoplasty cases where previous surgery has weakened the nasal support structures. The graft must be carefully sized and positioned to avoid over-projection or unnatural rigidity.

Usage

Usage note: Document graft source, dimensions, and fixation method for surgical records.

In Context

  • "A columellar strut graft was placed to provide adequate tip projection in this revision rhinoplasty case." — Operative report
  • "The columellar strut graft maintained stable tip projection at one-year follow-up." — Post-operative assessment

Also known as

columellar support graft medial crural strut

Don't confuse with

septal extension graft caudal septal graft

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