International Session 19　　Pediatric Larynx

Background: Modified septal extension graft is effective method to address & maintain nasal tip projection.Aim: Evaluate the effectiveness of modified septal extension graft in nasal tip projection & rotation.Patients & methods: Prospective non randomized interventional cohort study.23 patients underwent a primary rhinoplasty using modified septal extension graft.These patients were followed at immediate postoperative & for 6 months later for changing in their results 7complications.Results: Nearly all the patients had achieved their satisfied nasal tip projection & up rotation with post-operative Goode ratio mean change from(0 57)to(0 67)& nasolabial angle mean change from(91 13)to(112 87) , which are statically significant with unremarkable changes over the next 6 months .Except for one case who developed nasal tip deviation with remark reduction in projection.Conclusion: Modified Septal Extension Graft is a valuable technique to gain a diverse range of nasal tip projection & rotation independently with the ability to preserve those changes postoperatively.With good handling and designing of the Graft, its potential complications can be reduced to a great extent.